| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,216 |
3,198 |
$219K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
644 |
644 |
$70K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,190 |
1,105 |
$63K |
| 99215 |
Prolong outpt/office vis |
699 |
696 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
310 |
310 |
$18K |
| J0129 |
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
13 |
12 |
$15K |
| 80053 |
Comprehensive metabolic panel |
1,001 |
993 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,000 |
991 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
175 |
165 |
$5K |
| 80074 |
|
64 |
64 |
$2K |
| 86140 |
|
518 |
516 |
$2K |
| 96415 |
|
128 |
119 |
$2K |
| 99205 |
Prolong outpt/office vis |
17 |
17 |
$2K |
| 86200 |
|
133 |
133 |
$1K |
| 86812 |
|
49 |
49 |
$1K |
| 86038 |
|
62 |
62 |
$655.75 |
| 85651 |
|
134 |
134 |
$504.36 |
| 86704 |
|
52 |
52 |
$503.84 |
| 86706 |
|
52 |
52 |
$448.85 |
| 36415 |
Collection of venous blood by venipuncture |
101 |
101 |
$383.28 |
| 86431 |
|
79 |
79 |
$372.96 |
| 96401 |
|
28 |
25 |
$354.65 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
136 |
135 |
$333.63 |
| 84550 |
|
71 |
71 |
$265.32 |
| 83516 |
|
12 |
12 |
$215.46 |
| 82550 |
|
25 |
25 |
$133.17 |
| 85652 |
|
41 |
41 |
$93.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$42.38 |