| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,710 |
4,609 |
$144K |
| 95911 |
|
491 |
405 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,805 |
1,718 |
$31K |
| 95886 |
|
333 |
262 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
450 |
444 |
$21K |
| 95923 |
|
928 |
914 |
$11K |
| 92540 |
|
995 |
981 |
$9K |
| 92546 |
|
993 |
980 |
$8K |
| 95819 |
|
64 |
64 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
610 |
202 |
$6K |
| 92548 |
|
895 |
881 |
$3K |
| 92537 |
|
992 |
978 |
$3K |
| 99441 |
|
304 |
291 |
$3K |
| 95921 |
|
398 |
386 |
$2K |
| J3415 |
Injection, pyridoxine hcl, 100 mg |
648 |
221 |
$2K |
| 93886 |
|
15 |
15 |
$918.13 |
| 93890 |
|
15 |
15 |
$843.87 |
| 93880 |
|
15 |
15 |
$809.38 |
| 95813 |
|
12 |
12 |
$634.97 |
| J3411 |
Injection, thiamine hcl, 100 mg |
650 |
221 |
$497.55 |
| 93040 |
|
262 |
262 |
$424.50 |
| 95924 |
|
66 |
66 |
$369.92 |
| 92547 |
|
949 |
935 |
$361.75 |
| 92588 |
|
12 |
12 |
$200.92 |
| J7050 |
Infusion, normal saline solution, 250 cc |
587 |
200 |
$123.23 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
24 |
16 |
$108.42 |
| J0613 |
Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg |
208 |
80 |
$61.72 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
691 |
233 |
$48.36 |
| 95957 |
|
12 |
12 |
$43.89 |
| J0610 |
Injection, calcium gluconate (fresenius kabi), per 10 ml |
281 |
85 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
295 |
92 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
41 |
28 |
$0.00 |