| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,920 |
5,797 |
$527K |
| J0490 |
Injection, belimumab, 10 mg |
75 |
55 |
$216K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,352 |
1,114 |
$158K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,449 |
2,805 |
$102K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
98 |
98 |
$16K |
| 99215 |
Prolong outpt/office vis |
121 |
119 |
$15K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
545 |
392 |
$14K |
| J0897 |
Injection, denosumab, 1 mg |
12 |
12 |
$7K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
354 |
262 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
629 |
566 |
$3K |
| 96415 |
|
24 |
17 |
$1K |
| J7050 |
Infusion, normal saline solution, 250 cc |
669 |
560 |
$190.26 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
13 |
$97.12 |
| 36000 |
|
698 |
570 |
$0.00 |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
172 |
127 |
$0.00 |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
157 |
116 |
$0.00 |