| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
136 |
52 |
$12K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
139 |
49 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
145 |
53 |
$4K |
| 99417 |
Prolong home eval add 15m |
71 |
28 |
$4K |
| 93041 |
|
143 |
53 |
$455.46 |
| A4670 |
Automatic blood pressure monitor |
92 |
39 |
$214.35 |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
92 |
39 |
$204.87 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
123 |
41 |
$94.97 |
| E0780 |
Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours |
148 |
52 |
$29.34 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
40 |
15 |
$26.28 |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
148 |
52 |
$10.47 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
22 |
14 |
$3.84 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
149 |
53 |
$1.47 |
| J3490 |
Unclassified drugs |
120 |
41 |
$0.03 |
| E1399 |
Durable medical equipment, miscellaneous |
119 |
40 |
$0.00 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
148 |
52 |
$0.00 |