| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,883 |
19,862 |
$1.71M |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
8,289 |
7,192 |
$1.44M |
| 36415 |
Collection of venous blood by venipuncture |
12,275 |
11,282 |
$1.00M |
| 96415 |
|
539 |
418 |
$605K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,830 |
5,300 |
$297K |
| 76881 |
|
2,036 |
1,880 |
$166K |
| 20611 |
|
2,600 |
1,933 |
$129K |
| 99215 |
Prolong outpt/office vis |
1,577 |
1,421 |
$126K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,020 |
930 |
$107K |
| 80053 |
Comprehensive metabolic panel |
12,750 |
11,891 |
$87K |
| J1602 |
Injection, golimumab, 1 mg, for intravenous use |
458 |
228 |
$67K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
992 |
837 |
$64K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,640 |
11,785 |
$63K |
| 86140 |
|
12,446 |
11,614 |
$43K |
| 86235 |
|
230 |
218 |
$27K |
| 85652 |
|
12,287 |
11,465 |
$22K |
| 86146 |
|
229 |
217 |
$16K |
| 86147 |
|
229 |
217 |
$16K |
| 86225 |
|
1,286 |
1,195 |
$14K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
224 |
198 |
$12K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
82 |
43 |
$12K |
| 86160 |
|
898 |
859 |
$11K |
| 80074 |
|
347 |
316 |
$11K |
| 76882 |
|
455 |
411 |
$10K |
| 86480 |
|
202 |
191 |
$9K |
| J0129 |
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
996 |
833 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
27 |
$7K |
| 83516 |
|
306 |
291 |
$6K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
269 |
253 |
$4K |
| 86200 |
|
291 |
276 |
$3K |
| 86376 |
|
214 |
202 |
$3K |
| 86800 |
|
215 |
203 |
$2K |
| 86038 |
|
214 |
202 |
$2K |
| 99243 |
|
15 |
12 |
$2K |
| 86226 |
|
216 |
204 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
121 |
117 |
$2K |
| 82550 |
|
275 |
262 |
$2K |
| 86431 |
|
317 |
302 |
$2K |
| 73630 |
|
85 |
41 |
$1K |
| 73130 |
|
107 |
43 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 84439 |
|
105 |
101 |
$855.48 |
| 81003 |
|
100 |
97 |
$187.21 |
| 84550 |
|
43 |
38 |
$135.16 |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
14 |
13 |
$0.00 |
| J0490 |
Injection, belimumab, 10 mg |
39 |
25 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
206 |
191 |
$-3.65 |