| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,310 |
12,364 |
$413K |
| J0490 |
Injection, belimumab, 10 mg |
103 |
38 |
$113K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
651 |
612 |
$60K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
941 |
758 |
$45K |
| 99215 |
Prolong outpt/office vis |
342 |
239 |
$23K |
| 99205 |
Prolong outpt/office vis |
133 |
118 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
169 |
139 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
37 |
$1K |
| 20611 |
|
14 |
13 |
$661.59 |
| 76881 |
|
13 |
13 |
$607.05 |
| 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) |
128 |
113 |
$10.67 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
12 |
$8.92 |