| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,905 |
1,828 |
$50K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
346 |
153 |
$36K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
127 |
106 |
$25K |
| J3490 |
Unclassified drugs |
675 |
444 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,119 |
1,098 |
$15K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
726 |
439 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,558 |
708 |
$12K |
| 96367 |
|
1,189 |
745 |
$11K |
| Q5106 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units |
117 |
39 |
$9K |
| 99215 |
Prolong outpt/office vis |
191 |
176 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
210 |
72 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
303 |
201 |
$4K |
| 80053 |
Comprehensive metabolic panel |
1,134 |
1,073 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
367 |
290 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,431 |
1,621 |
$1K |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
375 |
156 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
844 |
541 |
$778.33 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
327 |
200 |
$526.03 |
| 36592 |
|
45 |
34 |
$459.05 |
| 82608 |
|
42 |
42 |
$446.53 |
| 82728 |
|
468 |
466 |
$404.35 |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$375.67 |
| 86300 |
|
115 |
108 |
$318.17 |
| 83540 |
|
597 |
591 |
$152.75 |
| 82607 |
|
76 |
76 |
$145.16 |
| 36415 |
Collection of venous blood by venipuncture |
1,646 |
1,149 |
$104.18 |
| 82378 |
|
448 |
426 |
$34.56 |
| 83550 |
|
596 |
590 |
$34.38 |
| 96417 |
|
15 |
12 |
$28.30 |
| 83615 |
|
447 |
423 |
$27.73 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
54 |
53 |
$24.79 |
| 82746 |
|
134 |
134 |
$13.25 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
206 |
199 |
$12.34 |
| 83735 |
|
16 |
12 |
$12.04 |
| 84550 |
|
17 |
14 |
$4.92 |
| 84100 |
|
71 |
69 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |