| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,112 |
12,777 |
$909K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,038 |
11,286 |
$514K |
| J2357 |
Injection, omalizumab, 5 mg |
167 |
77 |
$219K |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
4,050 |
1,415 |
$104K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,842 |
882 |
$78K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,566 |
484 |
$53K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,466 |
2,850 |
$48K |
| 96401 |
|
378 |
291 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
241 |
212 |
$13K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,453 |
833 |
$11K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
145 |
112 |
$11K |
| 80305 |
|
632 |
573 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
443 |
418 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
211 |
148 |
$5K |
| 90688 |
|
251 |
241 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
84 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
44 |
39 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,997 |
1,221 |
$2K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
100 |
36 |
$1K |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,144 |
970 |
$1K |
| 90686 |
|
136 |
134 |
$1K |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
1,440 |
803 |
$1K |
| A4212 |
Non-coring needle or stylet with or without catheter |
1,511 |
483 |
$894.21 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$853.01 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
1,905 |
569 |
$831.01 |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
4,376 |
1,346 |
$697.77 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
354 |
127 |
$626.63 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
952 |
378 |
$396.69 |
| 81002 |
|
342 |
261 |
$393.17 |
| 96367 |
|
54 |
12 |
$282.98 |
| 99490 |
Ccm add 20min |
1,798 |
1,764 |
$232.36 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
660 |
211 |
$229.40 |
| A4210 |
Needle-free injection device, each |
2,526 |
1,226 |
$223.16 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
25 |
24 |
$148.89 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
29 |
25 |
$34.55 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
198 |
91 |
$25.75 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
27 |
13 |
$14.96 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
39 |
14 |
$13.16 |
| 81025 |
|
15 |
15 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
38 |
13 |
$0.00 |