| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,009 |
2,214 |
$100K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,526 |
1,389 |
$67K |
| 96367 |
|
2,793 |
1,447 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
707 |
571 |
$29K |
| 80053 |
Comprehensive metabolic panel |
2,785 |
1,659 |
$19K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
593 |
566 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,022 |
2,323 |
$15K |
| 82728 |
|
1,731 |
1,652 |
$15K |
| 83735 |
|
2,934 |
1,810 |
$14K |
| 84481 |
|
817 |
776 |
$14K |
| 82248 |
|
2,939 |
1,812 |
$14K |
| 84238 |
|
901 |
847 |
$14K |
| 83540 |
|
1,725 |
1,645 |
$11K |
| 83615 |
|
2,076 |
1,691 |
$10K |
| 85046 |
|
2,850 |
1,724 |
$10K |
| 84100 |
|
2,089 |
1,704 |
$10K |
| 84550 |
|
2,092 |
1,701 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
744 |
457 |
$7K |
| 83550 |
|
1,723 |
1,643 |
$6K |
| 82607 |
|
610 |
579 |
$6K |
| 82746 |
|
599 |
568 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
405 |
391 |
$5K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
523 |
313 |
$5K |
| 84439 |
|
817 |
776 |
$5K |
| 86769 |
|
452 |
438 |
$4K |
| 85048 |
|
2,563 |
1,520 |
$3K |
| J3490 |
Unclassified drugs |
353 |
143 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,561 |
983 |
$1K |
| 86304 |
|
61 |
57 |
$1K |
| 86300 |
|
61 |
57 |
$1K |
| 82378 |
|
76 |
72 |
$957.10 |
| 86301 |
|
47 |
45 |
$821.43 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
30 |
15 |
$539.91 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,539 |
900 |
$432.27 |
| J0610 |
Injection, calcium gluconate (fresenius kabi), per 10 ml |
72 |
39 |
$250.42 |
| 96368 |
|
19 |
12 |
$226.26 |
| 85004 |
|
1,151 |
673 |
$207.47 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
359 |
177 |
$194.30 |
| 85045 |
|
1,294 |
783 |
$112.27 |
| J3480 |
Injection, potassium chloride, per 2 meq |
151 |
67 |
$107.43 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
91 |
52 |
$83.24 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
31 |
16 |
$79.98 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
80 |
25 |
$76.78 |
| 84436 |
|
16 |
13 |
$10.45 |
| 84480 |
|
16 |
13 |
$8.80 |
| J1756 |
Injection, iron sucrose, 1 mg |
311 |
196 |
$0.00 |