| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
185 |
108 |
$198K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
3,410 |
2,058 |
$174K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,149 |
4,239 |
$150K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,838 |
3,831 |
$87K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
704 |
599 |
$26K |
| 96415 |
|
1,007 |
582 |
$22K |
| 80053 |
Comprehensive metabolic panel |
1,748 |
1,310 |
$11K |
| 73610 |
|
380 |
327 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
128 |
106 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,230 |
947 |
$6K |
| 73630 |
|
309 |
258 |
$5K |
| 85652 |
|
1,430 |
1,108 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
65 |
39 |
$2K |
| 85027 |
|
526 |
379 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
116 |
65 |
$1K |
| 86140 |
|
511 |
389 |
$1K |
| 73620 |
|
54 |
49 |
$977.51 |
| 20610 |
|
38 |
25 |
$962.81 |
| J7050 |
Infusion, normal saline solution, 250 cc |
4,902 |
3,030 |
$831.04 |
| 72202 |
|
27 |
26 |
$632.84 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
14 |
12 |
$479.55 |
| 73120 |
|
21 |
14 |
$402.83 |
| 73100 |
|
20 |
12 |
$397.12 |
| 73564 |
|
13 |
12 |
$307.87 |
| 73560 |
|
14 |
12 |
$266.70 |
| 36415 |
Collection of venous blood by venipuncture |
4,324 |
3,280 |
$167.70 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
116 |
51 |
$135.38 |
| 99070 |
|
14 |
12 |
$120.92 |
| 85651 |
|
37 |
33 |
$109.12 |
| 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) |
60 |
58 |
$92.66 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
44 |
24 |
$78.84 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
48 |
24 |
$5.34 |
| 99024 |
|
29 |
26 |
$0.00 |