| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0138 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
2,888 |
1,537 |
$995K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,799 |
2,295 |
$228K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,741 |
2,690 |
$156K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
449 |
386 |
$65K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
386 |
310 |
$60K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,579 |
5,618 |
$41K |
| J1750 |
Injection, iron dextran, 50 mg |
105 |
87 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
7,893 |
5,711 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
305 |
255 |
$17K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
60 |
24 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
290 |
190 |
$3K |
| 96367 |
|
49 |
24 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
65 |
42 |
$1K |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
52 |
37 |
$399.86 |
| 90674 |
|
14 |
12 |
$329.34 |
| J3490 |
Unclassified drugs |
47 |
38 |
$93.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$93.28 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
56 |
40 |
$88.39 |