| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
Positron emission tomography (PET) for limited area imaging |
3,081 |
2,378 |
$3.43M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,841 |
51,331 |
$3.12M |
| J0897 |
Injection, denosumab, 1 mg |
776 |
755 |
$1.11M |
| 99233 |
Prolong inpt eval add15 m |
12,214 |
4,464 |
$982K |
| 77014 |
|
8,746 |
1,666 |
$799K |
| 99215 |
Prolong outpt/office vis |
8,836 |
7,618 |
$781K |
| J1453 |
Injection, fosaprepitant, 1 mg |
1,811 |
1,193 |
$776K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,709 |
16,242 |
$714K |
| J9271 |
Injection, pembrolizumab, 1 mg |
160 |
124 |
$655K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
10,390 |
6,472 |
$572K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
1,880 |
1,057 |
$401K |
| 99223 |
Prolong inpt eval add15 m |
2,752 |
2,693 |
$384K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,097 |
1,613 |
$321K |
| G6015 |
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session |
1,116 |
244 |
$302K |
| 99205 |
Prolong outpt/office vis |
2,814 |
2,808 |
$273K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,897 |
2,218 |
$273K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,113 |
4,102 |
$268K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
1,907 |
1,871 |
$231K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
4,408 |
2,601 |
$201K |
| 96367 |
|
8,098 |
4,861 |
$177K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
2,122 |
1,641 |
$175K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28,994 |
20,642 |
$169K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,856 |
1,856 |
$165K |
| 77427 |
|
958 |
527 |
$134K |
| 77336 |
|
1,592 |
881 |
$132K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18,781 |
12,685 |
$123K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
6,339 |
3,365 |
$120K |
| 77334 |
|
540 |
325 |
$108K |
| Q0138 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
64 |
41 |
$105K |
| 77280 |
|
341 |
233 |
$72K |
| 77300 |
|
599 |
305 |
$69K |
| J0641 |
Injection, levoleucovorin, not otherwise specified, 0.5 mg |
23 |
13 |
$58K |
| J1437 |
Injection, ferric derisomaltose, 10 mg |
26 |
26 |
$52K |
| 77049 |
|
262 |
141 |
$51K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,739 |
1,312 |
$48K |
| Q5106 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units |
217 |
113 |
$47K |
| G6012 |
Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev |
181 |
39 |
$42K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
508 |
508 |
$35K |
| J0881 |
Injection, darbepoetin alfa, 1 microgram (non-esrd use) |
119 |
84 |
$30K |
| 96368 |
|
4,213 |
2,622 |
$30K |
| 96417 |
|
1,310 |
903 |
$30K |
| 99497 |
|
470 |
465 |
$30K |
| G6013 |
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev |
137 |
39 |
$24K |
| 31231 |
|
106 |
101 |
$23K |
| J0185 |
Injection, aprepitant, 1 mg |
37 |
26 |
$22K |
| 76642 |
|
264 |
190 |
$13K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,023 |
1,988 |
$10K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
3,630 |
2,139 |
$10K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
257 |
125 |
$10K |
| 96523 |
|
862 |
694 |
$10K |
| 31575 |
|
66 |
66 |
$9K |
| 80053 |
Comprehensive metabolic panel |
920 |
747 |
$7K |
| 95251 |
|
708 |
706 |
$6K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
652 |
581 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
961 |
954 |
$4K |
| 96415 |
|
164 |
119 |
$4K |
| 99443 |
|
145 |
134 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
205 |
194 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
381 |
239 |
$4K |
| 82728 |
|
150 |
144 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$2K |
| 93000 |
|
125 |
119 |
$2K |
| J9190 |
Injection, fluorouracil, 500 mg |
48 |
25 |
$2K |
| 96411 |
|
39 |
24 |
$2K |
| 47562 |
|
12 |
12 |
$2K |
| 83615 |
|
305 |
253 |
$1K |
| 77263 |
|
16 |
14 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
18 |
16 |
$1K |
| 71250 |
|
43 |
38 |
$1K |
| 69210 |
|
26 |
26 |
$1K |
| 84550 |
|
270 |
224 |
$961.56 |
| J3489 |
Injection, zoledronic acid, 1 mg |
25 |
25 |
$910.33 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
361 |
218 |
$848.22 |
| 92552 |
|
52 |
47 |
$839.01 |
| 99354 |
|
12 |
12 |
$596.64 |
| 85018 |
|
450 |
273 |
$506.48 |
| 82948 |
|
308 |
304 |
$342.77 |
| 83540 |
|
43 |
43 |
$298.34 |
| 83735 |
|
31 |
29 |
$202.77 |
| 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) |
35 |
35 |
$142.96 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
28 |
25 |
$125.86 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
18 |
13 |
$117.95 |
| J3490 |
Unclassified drugs |
88 |
52 |
$109.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$73.59 |
| 81000 |
|
15 |
15 |
$58.05 |
| 96402 |
|
12 |
12 |
$48.98 |
| 36415 |
Collection of venous blood by venipuncture |
501 |
386 |
$39.60 |