| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
1,929 |
1,280 |
$3.19M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,961 |
27,471 |
$1.70M |
| 00731 |
|
24,871 |
14,090 |
$1.60M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
26,410 |
25,395 |
$1.58M |
| 00811 |
|
27,099 |
15,345 |
$1.55M |
| Q5103 |
Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg |
880 |
596 |
$1.32M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
34,956 |
15,779 |
$1.26M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
21,732 |
20,656 |
$1.22M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13,321 |
12,752 |
$1.09M |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
8,348 |
7,768 |
$987K |
| 99254 |
|
7,613 |
7,165 |
$781K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
9,056 |
8,609 |
$708K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,533 |
17,520 |
$703K |
| 99222 |
Initial hospital care, per day, moderate complexity |
9,746 |
8,451 |
$491K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
4,418 |
4,332 |
$414K |
| 00813 |
|
4,803 |
2,461 |
$414K |
| 00812 |
|
5,264 |
2,788 |
$359K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
3,462 |
3,351 |
$327K |
| J3380 |
Injection, vedolizumab, intravenous, 1 mg |
53 |
50 |
$241K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,900 |
2,778 |
$217K |
| 99443 |
|
2,878 |
2,591 |
$170K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
2,850 |
2,586 |
$158K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,613 |
2,530 |
$157K |
| 43235 |
|
2,713 |
2,510 |
$144K |
| 99442 |
|
3,189 |
2,854 |
$126K |
| 88342 |
|
1,344 |
1,302 |
$78K |
| 36415 |
Collection of venous blood by venipuncture |
29,809 |
27,873 |
$77K |
| 99215 |
Prolong outpt/office vis |
690 |
671 |
$63K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,319 |
1,711 |
$46K |
| 80053 |
Comprehensive metabolic panel |
5,201 |
5,001 |
$41K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,952 |
6,706 |
$41K |
| 80076 |
|
6,249 |
6,092 |
$37K |
| 82784 |
|
4,484 |
4,337 |
$34K |
| 97802 |
|
602 |
587 |
$34K |
| 91065 |
|
532 |
427 |
$21K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,004 |
976 |
$20K |
| 82105 |
|
1,364 |
1,333 |
$17K |
| 99441 |
|
546 |
498 |
$15K |
| 86140 |
|
3,448 |
3,343 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
487 |
467 |
$12K |
| 99243 |
|
255 |
247 |
$12K |
| 85027 |
|
1,905 |
1,852 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
167 |
154 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
124 |
90 |
$7K |
| 43264 |
|
38 |
38 |
$7K |
| 87340 |
|
866 |
846 |
$7K |
| 83690 |
|
1,345 |
1,314 |
$7K |
| 87507 |
|
14 |
14 |
$7K |
| 82728 |
|
597 |
589 |
$7K |
| 97803 |
|
260 |
205 |
$6K |
| 83550 |
|
788 |
772 |
$5K |
| 83540 |
|
828 |
811 |
$4K |
| 85610 |
|
1,216 |
1,173 |
$4K |
| 86706 |
|
442 |
438 |
$3K |
| 83014 |
|
436 |
435 |
$3K |
| 96415 |
|
574 |
538 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
55 |
52 |
$2K |
| 43248 |
|
24 |
24 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
185 |
179 |
$2K |
| 85652 |
|
950 |
922 |
$2K |
| 86704 |
|
134 |
134 |
$1K |
| 82248 |
|
349 |
337 |
$1K |
| 43762 |
|
12 |
12 |
$1K |
| 99253 |
|
14 |
14 |
$1K |
| 76981 |
|
13 |
13 |
$1K |
| 43262 |
|
12 |
12 |
$974.00 |
| 86803 |
|
76 |
76 |
$969.72 |
| 86708 |
|
66 |
66 |
$825.35 |
| 82565 |
|
212 |
210 |
$778.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
65 |
$713.98 |
| 82607 |
|
44 |
44 |
$657.64 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
166 |
162 |
$650.53 |
| 45330 |
|
13 |
12 |
$383.38 |
| 90674 |
|
12 |
12 |
$196.16 |
| 98968 |
|
19 |
14 |
$72.50 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
69 |
66 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$0.00 |
| 91200 |
|
31 |
28 |
$0.00 |