| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,877 |
1,169 |
$33K |
| Q5106 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units |
213 |
126 |
$14K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
489 |
176 |
$8K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
592 |
212 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
416 |
342 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
119 |
78 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
428 |
232 |
$1K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
66 |
40 |
$834.24 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
393 |
231 |
$567.82 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
502 |
156 |
$396.60 |
| J7050 |
Infusion, normal saline solution, 250 cc |
418 |
216 |
$311.57 |
| 99215 |
Prolong outpt/office vis |
176 |
149 |
$171.60 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
203 |
68 |
$137.83 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
103 |
59 |
$136.82 |
| 99000 |
|
30 |
12 |
$108.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
117 |
105 |
$42.19 |
| 1124F |
|
811 |
528 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
928 |
619 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
12 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
175 |
151 |
$0.00 |
| 3017F |
|
74 |
67 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
502 |
390 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
378 |
229 |
$0.00 |
| 1036F |
|
366 |
298 |
$0.00 |