| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,489 |
15,736 |
$694K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
6,784 |
4,768 |
$653K |
| J9271 |
Injection, pembrolizumab, 1 mg |
60 |
50 |
$368K |
| 96367 |
|
8,573 |
5,923 |
$246K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25,937 |
19,262 |
$198K |
| 80053 |
Comprehensive metabolic panel |
18,999 |
14,966 |
$194K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,217 |
2,984 |
$81K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,980 |
1,321 |
$80K |
| 99215 |
Prolong outpt/office vis |
905 |
743 |
$55K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
751 |
516 |
$51K |
| 36415 |
Collection of venous blood by venipuncture |
17,095 |
13,795 |
$36K |
| 96417 |
|
527 |
364 |
$35K |
| 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) |
2,587 |
2,354 |
$24K |
| J1756 |
Injection, iron sucrose, 1 mg |
277 |
145 |
$22K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,183 |
817 |
$21K |
| 99233 |
Prolong inpt eval add15 m |
154 |
62 |
$8K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,052 |
1,371 |
$5K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,600 |
1,698 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,911 |
1,838 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
99 |
50 |
$4K |
| 82728 |
|
238 |
226 |
$3K |
| 96415 |
|
65 |
40 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
908 |
720 |
$2K |
| 83550 |
|
237 |
225 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
60 |
26 |
$2K |
| 83540 |
|
237 |
225 |
$2K |
| 83615 |
|
224 |
210 |
$1K |
| 84100 |
|
229 |
213 |
$1K |
| 84550 |
|
185 |
172 |
$910.33 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
68 |
38 |
$896.59 |
| 82607 |
|
12 |
12 |
$237.12 |
| 82746 |
|
12 |
12 |
$231.47 |