| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57,960 |
45,057 |
$1.86M |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
29,331 |
15,130 |
$1.65M |
| 99215 |
Prolong outpt/office vis |
29,397 |
20,588 |
$1.34M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
277,438 |
174,346 |
$951K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,741 |
17,765 |
$459K |
| 80053 |
Comprehensive metabolic panel |
104,444 |
74,612 |
$376K |
| 88185 |
|
1,602 |
1,322 |
$333K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
9,449 |
5,595 |
$323K |
| 36415 |
Collection of venous blood by venipuncture |
161,806 |
115,283 |
$149K |
| 96367 |
|
7,388 |
3,967 |
$148K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22,911 |
14,386 |
$139K |
| 82728 |
|
20,542 |
17,391 |
$121K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
178 |
116 |
$76K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,129 |
519 |
$71K |
| 88189 |
|
2,509 |
2,132 |
$62K |
| 83550 |
|
16,357 |
13,853 |
$61K |
| 88374 |
|
605 |
492 |
$57K |
| 83540 |
|
16,609 |
14,054 |
$46K |
| 88184 |
|
1,588 |
1,322 |
$29K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
425 |
338 |
$25K |
| 81206 |
|
523 |
394 |
$25K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,830 |
996 |
$23K |
| 96417 |
|
677 |
377 |
$20K |
| J0881 |
Injection, darbepoetin alfa, 1 microgram (non-esrd use) |
170 |
110 |
$18K |
| 88377 |
|
194 |
166 |
$18K |
| J0185 |
Injection, aprepitant, 1 mg |
108 |
61 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
232 |
199 |
$16K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
538 |
184 |
$15K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
202 |
167 |
$15K |
| 82607 |
|
1,357 |
1,122 |
$9K |
| 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) |
2,778 |
2,031 |
$8K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
15 |
12 |
$7K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
9,562 |
4,893 |
$7K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
277 |
187 |
$6K |
| 81219 |
|
113 |
95 |
$6K |
| 99205 |
Prolong outpt/office vis |
61 |
49 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
700 |
528 |
$5K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
310 |
175 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
775 |
635 |
$4K |
| 81403 |
|
58 |
50 |
$4K |
| 88313 |
|
76 |
66 |
$4K |
| 81279 |
|
56 |
46 |
$3K |
| 81402 |
|
58 |
50 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
115 |
65 |
$3K |
| 82746 |
|
474 |
392 |
$3K |
| 81270 |
|
103 |
85 |
$3K |
| 81450 |
|
142 |
104 |
$3K |
| 81338 |
|
56 |
46 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
4,193 |
3,035 |
$2K |
| J1627 |
Injection, granisetron, extended-release, 0.1 mg |
92 |
65 |
$2K |
| 83615 |
|
921 |
598 |
$2K |
| 83735 |
|
452 |
195 |
$1K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
47 |
26 |
$1K |
| 0011A |
|
71 |
36 |
$1K |
| 0012A |
|
44 |
28 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$903.54 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
62 |
53 |
$794.86 |
| 90688 |
|
58 |
51 |
$735.45 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
263 |
219 |
$709.05 |
| 88360 |
|
29 |
26 |
$706.92 |
| 82248 |
|
256 |
104 |
$687.74 |
| J9045 |
Injection, carboplatin, 50 mg |
147 |
89 |
$652.85 |
| 84100 |
|
335 |
145 |
$486.88 |
| 84550 |
|
256 |
104 |
$419.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$216.72 |
| 82784 |
|
16 |
13 |
$154.82 |
| 83521 |
|
16 |
13 |
$150.96 |
| 86334 |
|
16 |
13 |
$124.06 |
| 85045 |
|
50 |
38 |
$109.76 |
| J9267 |
Injection, paclitaxel, 1 mg |
25 |
12 |
$97.95 |
| 88311 |
|
62 |
53 |
$96.89 |
| 86300 |
|
12 |
12 |
$74.59 |
| 84165 |
|
16 |
13 |
$59.62 |
| 85652 |
|
35 |
29 |
$47.79 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
73 |
43 |
$2.23 |
| J1453 |
Injection, fosaprepitant, 1 mg |
43 |
29 |
$0.00 |
| J3490 |
Unclassified drugs |
67 |
48 |
$0.00 |