| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,864 |
9,808 |
$957K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,287 |
1,240 |
$144K |
| Q5104 |
Injection, infliximab-abda, biosimilar, (renflexis), 10 mg |
50 |
48 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
904 |
901 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
269 |
269 |
$37K |
| 84450 |
|
7,098 |
7,057 |
$33K |
| 82565 |
|
7,095 |
7,069 |
$32K |
| 86140 |
|
7,835 |
7,800 |
$32K |
| 84460 |
|
6,923 |
6,885 |
$32K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,749 |
7,710 |
$31K |
| Q5103 |
Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg |
13 |
13 |
$26K |
| 96415 |
|
715 |
684 |
$21K |
| 99215 |
Prolong outpt/office vis |
127 |
127 |
$18K |
| 85652 |
|
8,088 |
8,054 |
$16K |
| 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) |
1,144 |
1,134 |
$14K |
| 86235 |
|
220 |
220 |
$11K |
| 86160 |
|
304 |
304 |
$5K |
| 82040 |
|
2,719 |
2,709 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
8,730 |
8,634 |
$3K |
| 84520 |
|
3,595 |
3,585 |
$3K |
| 86225 |
|
459 |
459 |
$3K |
| 86039 |
|
437 |
436 |
$2K |
| 86431 |
|
249 |
249 |
$1K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,766 |
1,699 |
$1K |
| 84550 |
|
250 |
249 |
$1K |
| 86200 |
|
137 |
137 |
$320.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$156.76 |
| 86803 |
|
12 |
12 |
$128.41 |