| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95886 |
|
1,620 |
1,464 |
$87K |
| 95911 |
|
642 |
641 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,367 |
1,432 |
$40K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,638 |
773 |
$31K |
| 95910 |
|
415 |
413 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
543 |
506 |
$23K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,638 |
781 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
71 |
71 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
360 |
170 |
$4K |
| J3411 |
Injection, thiamine hcl, 100 mg |
1,407 |
675 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
545 |
235 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,678 |
752 |
$2K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
1,416 |
421 |
$1K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,080 |
542 |
$983.31 |
| J7050 |
Infusion, normal saline solution, 250 cc |
490 |
242 |
$347.63 |