| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,974 |
6,352 |
$3.53M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,427 |
3,397 |
$228K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,431 |
882 |
$83K |
| 99215 |
Prolong outpt/office vis |
774 |
623 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,332 |
1,195 |
$52K |
| J0185 |
Injection, aprepitant, 1 mg |
413 |
244 |
$51K |
| 80053 |
Comprehensive metabolic panel |
4,089 |
3,082 |
$47K |
| 96367 |
|
1,167 |
675 |
$24K |
| 99205 |
Prolong outpt/office vis |
210 |
192 |
$23K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
537 |
364 |
$16K |
| 96417 |
|
355 |
202 |
$12K |
| J1750 |
Injection, iron dextran, 50 mg |
48 |
39 |
$10K |
| 82728 |
|
608 |
569 |
$9K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
604 |
386 |
$6K |
| 83550 |
|
398 |
378 |
$4K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
455 |
279 |
$4K |
| 96415 |
|
142 |
96 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
731 |
481 |
$3K |
| 82378 |
|
151 |
117 |
$3K |
| J1627 |
Injection, granisetron, extended-release, 0.1 mg |
20 |
12 |
$3K |
| 83540 |
|
398 |
378 |
$3K |
| 80050 |
General health panel |
28 |
25 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,113 |
606 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
14 |
12 |
$930.33 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
91 |
54 |
$904.40 |
| 83615 |
|
129 |
104 |
$749.39 |
| 82607 |
|
40 |
40 |
$573.25 |
| 82746 |
|
24 |
24 |
$330.40 |
| J1453 |
Injection, fosaprepitant, 1 mg |
18 |
12 |
$317.83 |
| 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) |
69 |
67 |
$311.05 |
| 86304 |
|
14 |
12 |
$300.96 |
| 83735 |
|
23 |
12 |
$172.33 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
214 |
129 |
$149.95 |
| 81002 |
|
60 |
39 |
$114.32 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
70 |
40 |
$80.23 |