| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,843 |
3,614 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,994 |
1,743 |
$42K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
930 |
516 |
$39K |
| J1750 |
Injection, iron dextran, 50 mg |
128 |
86 |
$17K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
438 |
316 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
156 |
156 |
$10K |
| 96367 |
|
662 |
352 |
$5K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
33 |
16 |
$4K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
128 |
86 |
$1K |
| 99442 |
|
91 |
86 |
$686.21 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
36 |
19 |
$154.35 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
172 |
93 |
$140.24 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
22 |
14 |
$14.68 |