| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,061 |
8,056 |
$281K |
| 96367 |
|
1,665 |
1,091 |
$64K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,822 |
1,851 |
$50K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,193 |
1,298 |
$50K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,591 |
1,000 |
$42K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,692 |
1,376 |
$33K |
| 96417 |
|
651 |
437 |
$24K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
574 |
383 |
$23K |
| 99233 |
Prolong inpt eval add15 m |
595 |
151 |
$23K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
464 |
279 |
$23K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
868 |
512 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
647 |
623 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
220 |
209 |
$16K |
| 96415 |
|
641 |
458 |
$16K |
| 96368 |
|
809 |
530 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,966 |
2,873 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
54 |
51 |
$4K |
| 99000 |
|
1,025 |
577 |
$4K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,355 |
800 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
620 |
377 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,066 |
2,093 |
$1K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$875.81 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
14 |
$750.30 |
| 96402 |
|
37 |
36 |
$450.17 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
43 |
28 |
$82.14 |