| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,606 |
2,420 |
$114K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,226 |
1,226 |
$91K |
| 99215 |
Prolong outpt/office vis |
1,011 |
895 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,231 |
1,182 |
$41K |
| 99205 |
Prolong outpt/office vis |
376 |
375 |
$33K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
540 |
396 |
$22K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
410 |
290 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
211 |
211 |
$13K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
221 |
178 |
$7K |
| 99459 |
|
585 |
581 |
$5K |
| 96417 |
|
121 |
106 |
$5K |
| 96415 |
|
90 |
81 |
$4K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
392 |
382 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
161 |
161 |
$1K |
| 96367 |
|
59 |
52 |
$1K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
348 |
251 |
$1K |
| J9267 |
Injection, paclitaxel, 1 mg |
76 |
66 |
$641.46 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
68 |
51 |
$557.33 |
| J9045 |
Injection, carboplatin, 50 mg |
71 |
63 |
$439.28 |
| J1453 |
Injection, fosaprepitant, 1 mg |
54 |
50 |
$268.93 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
373 |
265 |
$211.36 |
| S0028 |
Injection, famotidine, 20 mg |
60 |
50 |
$1.00 |