| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,790 |
12,089 |
$1.54M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,121 |
5,007 |
$638K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
3,746 |
1,962 |
$501K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,675 |
1,638 |
$274K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,842 |
1,536 |
$211K |
| 96367 |
|
2,684 |
1,395 |
$189K |
| 99205 |
Prolong outpt/office vis |
832 |
830 |
$185K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
722 |
721 |
$127K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,251 |
14,886 |
$115K |
| 96522 |
|
795 |
415 |
$81K |
| 96417 |
|
571 |
332 |
$60K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,765 |
1,662 |
$59K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,697 |
1,799 |
$56K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,275 |
597 |
$51K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
5,855 |
2,695 |
$51K |
| 36593 |
|
1,352 |
862 |
$46K |
| Q0081 |
Infusion therapy, using other than chemotherapeutic drugs, per visit |
1,884 |
954 |
$37K |
| 96415 |
|
825 |
482 |
$36K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
703 |
391 |
$29K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
2,197 |
1,129 |
$23K |
| Q0084 |
Chemotherapy administration by infusion technique only, per visit |
1,247 |
661 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
16,705 |
14,290 |
$13K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
867 |
862 |
$10K |
| 99442 |
|
179 |
179 |
$10K |
| 96401 |
|
173 |
157 |
$10K |
| 99406 |
|
497 |
471 |
$7K |
| H0001 |
Alcohol and/or drug assessment |
658 |
655 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
615 |
611 |
$5K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
430 |
417 |
$5K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
94 |
65 |
$2K |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
2,199 |
971 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
3,044 |
1,789 |
$2K |
| 99497 |
|
32 |
31 |
$2K |
| 99245 |
|
14 |
14 |
$2K |
| 99195 |
|
18 |
13 |
$2K |
| 96523 |
|
2,122 |
1,047 |
$1K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
4,268 |
1,866 |
$1K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
422 |
191 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,947 |
2,077 |
$889.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
22 |
14 |
$868.13 |
| 3078F |
|
243 |
243 |
$460.00 |
| 3074F |
|
246 |
246 |
$449.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
2,444 |
1,537 |
$367.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,339 |
739 |
$235.05 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
103 |
49 |
$227.10 |
| S0028 |
Injection, famotidine, 20 mg |
1,394 |
678 |
$208.56 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
3,189 |
1,705 |
$137.65 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
14 |
14 |
$75.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
34 |
13 |
$38.99 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
291 |
147 |
$4.28 |
| Q5101 |
Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram |
742 |
239 |
$1.29 |
| 1126F |
|
331 |
330 |
$0.00 |
| 1000F |
|
192 |
191 |
$0.00 |
| 1036F |
|
391 |
389 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
444 |
440 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
95 |
95 |
$0.00 |
| J1950 |
Injection, leuprolide acetate (for depot suspension), per 3.75 mg |
88 |
85 |
$0.00 |
| 3725F |
|
231 |
229 |
$0.00 |
| 3288F |
|
367 |
365 |
$0.00 |
| 1494F |
|
302 |
300 |
$0.00 |