| Code | Description | Claims | Beneficiaries | Total Paid |
| 96521 |
|
2,185 |
831 |
$238K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,496 |
2,096 |
$174K |
| J1569 |
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg |
42 |
36 |
$86K |
| 85060 |
|
3,695 |
2,473 |
$57K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
936 |
707 |
$51K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,584 |
728 |
$45K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
906 |
704 |
$41K |
| 99000 |
|
3,517 |
2,324 |
$36K |
| J1568 |
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg |
41 |
39 |
$36K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,081 |
626 |
$28K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,701 |
2,477 |
$23K |
| 99367 |
|
492 |
339 |
$16K |
| 99215 |
Prolong outpt/office vis |
200 |
114 |
$15K |
| J1561 |
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg |
27 |
24 |
$3K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
302 |
267 |
$2K |
| J1720 |
Injection, hydrocortisone sodium succinate, up to 100 mg |
143 |
130 |
$2K |
| 99245 |
|
13 |
12 |
$2K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,339 |
722 |
$2K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
638 |
204 |
$794.25 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
740 |
630 |
$568.48 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
695 |
612 |
$502.57 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
24 |
$167.26 |
| CP002 |
|
16 |
12 |
$156.80 |
| 36416 |
|
418 |
349 |
$3.70 |
| 99491 |
Ccm add 20min |
43 |
43 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
21 |
12 |
$0.00 |