| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,902 |
2,149 |
$222K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
620 |
307 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
82 |
40 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
393 |
133 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,380 |
654 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
57 |
13 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
57 |
13 |
$501.16 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
57 |
13 |
$401.81 |
| 81002 |
|
372 |
178 |
$329.36 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
52 |
13 |
$251.19 |
| 80305 |
|
117 |
53 |
$249.48 |
| 82947 |
|
187 |
83 |
$183.85 |
| 96127 |
|
54 |
27 |
$97.90 |
| J0610 |
Injection, calcium gluconate (fresenius kabi), per 10 ml |
57 |
13 |
$88.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
42 |
13 |
$9.80 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
57 |
13 |
$0.00 |