| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,078 |
11,060 |
$480K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
7,539 |
4,324 |
$397K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,628 |
11,564 |
$366K |
| J0881 |
Injection, darbepoetin alfa, 1 microgram (non-esrd use) |
3,345 |
2,526 |
$358K |
| J0897 |
Injection, denosumab, 1 mg |
1,413 |
1,283 |
$234K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,248 |
1,797 |
$129K |
| 96367 |
|
5,014 |
2,825 |
$128K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,993 |
6,435 |
$108K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,624 |
1,489 |
$95K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,771 |
2,790 |
$90K |
| Q5107 |
Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg |
176 |
82 |
$76K |
| 96401 |
|
1,043 |
539 |
$66K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,482 |
2,464 |
$61K |
| 96417 |
|
1,800 |
1,133 |
$54K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,257 |
500 |
$54K |
| J2505 |
Injection, pegfilgrastim, 6 mg |
606 |
418 |
$48K |
| 99215 |
Prolong outpt/office vis |
1,012 |
881 |
$46K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,532 |
2,379 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
723 |
688 |
$33K |
| J3490 |
Unclassified drugs |
985 |
465 |
$29K |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
329 |
130 |
$28K |
| 96415 |
|
1,227 |
726 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,814 |
3,700 |
$19K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
2,813 |
1,558 |
$13K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
636 |
246 |
$12K |
| J2506 |
Injection, pegfilgrastim, excludes biosimilar, 0.5 mg |
90 |
64 |
$11K |
| J0185 |
Injection, aprepitant, 1 mg |
636 |
379 |
$10K |
| 99205 |
Prolong outpt/office vis |
112 |
110 |
$9K |
| 96377 |
|
270 |
198 |
$8K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
638 |
327 |
$8K |
| J9045 |
Injection, carboplatin, 50 mg |
118 |
74 |
$6K |
| J1756 |
Injection, iron sucrose, 1 mg |
772 |
356 |
$5K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
59 |
44 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
83 |
41 |
$5K |
| J9190 |
Injection, fluorouracil, 500 mg |
65 |
25 |
$5K |
| 96402 |
|
332 |
301 |
$4K |
| J0640 |
Injection, leucovorin calcium, per 50 mg |
40 |
12 |
$4K |
| 96368 |
|
206 |
113 |
$3K |
| 96416 |
|
42 |
25 |
$3K |
| 80053 |
Comprehensive metabolic panel |
1,248 |
855 |
$3K |
| J3489 |
Injection, zoledronic acid, 1 mg |
250 |
208 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
92 |
$1K |
| 82746 |
|
452 |
414 |
$764.40 |
| 99222 |
Initial hospital care, per day, moderate complexity |
25 |
25 |
$648.81 |
| 82607 |
|
263 |
220 |
$458.28 |
| 36415 |
Collection of venous blood by venipuncture |
309 |
183 |
$432.59 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
25 |
$348.25 |
| 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) |
37 |
36 |
$343.44 |
| 83615 |
|
55 |
43 |
$325.60 |
| 82728 |
|
579 |
481 |
$132.07 |
| 83550 |
|
595 |
494 |
$94.24 |
| 83540 |
|
595 |
494 |
$51.80 |
| 96523 |
|
19 |
13 |
$20.49 |
| 82378 |
|
41 |
13 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| J1453 |
Injection, fosaprepitant, 1 mg |
490 |
318 |
$0.00 |
| J9035 |
Injection, bevacizumab, 10 mg |
34 |
12 |
$0.00 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
45 |
26 |
$0.00 |