| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7205 |
Injection, factor viii fc fusion protein (recombinant), per iu |
1,373 |
103 |
$4.83M |
| J7192 |
Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified |
82 |
13 |
$609K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,069 |
954 |
$50K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,552 |
290 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
659 |
607 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
1,660 |
1,468 |
$7K |
| 99215 |
Prolong outpt/office vis |
39 |
37 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
89 |
24 |
$908.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
46 |
$360.33 |
| 90686 |
|
14 |
13 |
$16.87 |