| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,946 |
2,974 |
$169K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,715 |
3,378 |
$168K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,165 |
493 |
$43K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,755 |
1,127 |
$39K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,670 |
1,333 |
$37K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,911 |
3,720 |
$25K |
| 96415 |
|
1,122 |
479 |
$20K |
| J3489 |
Injection, zoledronic acid, 1 mg |
808 |
779 |
$12K |
| J2780 |
Injection, ranitidine hydrochloride, 25 mg |
1,549 |
846 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,460 |
1,776 |
$8K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
718 |
562 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
319 |
75 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
395 |
197 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
70 |
39 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
117 |
37 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,882 |
1,313 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
855 |
832 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
336 |
143 |
$530.49 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
438 |
184 |
$420.49 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
227 |
128 |
$112.65 |