| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,735 |
2,170 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,424 |
2,894 |
$56K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,108 |
677 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,402 |
4,094 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
181 |
107 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
909 |
657 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$1K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
31 |
27 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
259 |
151 |
$1K |
| 96367 |
|
201 |
104 |
$916.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
24 |
13 |
$597.92 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
63 |
38 |
$531.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
31 |
$498.45 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$357.18 |
| 99442 |
|
17 |
15 |
$338.40 |
| 99422 |
|
16 |
13 |
$176.58 |
| 96415 |
|
21 |
12 |
$62.60 |
| 36415 |
Collection of venous blood by venipuncture |
808 |
605 |
$57.96 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
157 |
83 |
$30.58 |
| 90686 |
|
22 |
22 |
$18.27 |
| 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) |
23 |
22 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$0.00 |