| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,152 |
2,619 |
$157K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,286 |
317 |
$72K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,293 |
328 |
$68K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,235 |
305 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
420 |
384 |
$44K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,860 |
4,011 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
463 |
408 |
$33K |
| 36415 |
Collection of venous blood by venipuncture |
7,887 |
3,979 |
$22K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
314 |
131 |
$16K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
177 |
64 |
$3K |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
1,098 |
252 |
$647.81 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,629 |
422 |
$605.31 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
619 |
151 |
$575.28 |
| 94760 |
|
200 |
68 |
$400.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
644 |
141 |
$190.31 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,410 |
351 |
$-13.72 |