| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
392 |
156 |
$24K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
439 |
170 |
$24K |
| 96367 |
|
439 |
170 |
$20K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
439 |
170 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
65 |
$7K |
| 96368 |
|
437 |
170 |
$6K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
102 |
26 |
$127.40 |
| 36000 |
|
76 |
21 |
$75.57 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
46 |
16 |
$15.98 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
48 |
16 |
$3.57 |