| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0475 |
Injection, baclofen, 10 mg |
93 |
86 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
999 |
923 |
$36K |
| 95886 |
|
292 |
268 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
753 |
712 |
$17K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
22 |
13 |
$1K |
| 95909 |
|
15 |
15 |
$1K |
| 96415 |
|
22 |
13 |
$631.25 |
| 62370 |
|
48 |
43 |
$612.04 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
38 |
12 |
$410.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
22 |
13 |
$343.19 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
17 |
13 |
$218.09 |
| 95990 |
|
13 |
12 |
$117.64 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
25 |
13 |
$25.86 |