| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,075 |
605 |
$67K |
| 99215 |
Prolong outpt/office vis |
1,418 |
1,305 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,137 |
1,020 |
$49K |
| J3490 |
Unclassified drugs |
567 |
179 |
$31K |
| 0510 |
|
604 |
524 |
$25K |
| 0760 |
|
497 |
465 |
$21K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,578 |
1,378 |
$16K |
| G0378 |
Hospital observation service, per hour |
371 |
298 |
$14K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
513 |
333 |
$13K |
| 99199 |
Unlisted special service, procedure or report |
296 |
268 |
$11K |
| 80053 |
Comprehensive metabolic panel |
730 |
501 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
296 |
290 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
845 |
551 |
$8K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,414 |
860 |
$7K |
| 99417 |
Prolong home eval add 15m |
219 |
206 |
$5K |
| J1756 |
Injection, iron sucrose, 1 mg |
99 |
53 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
171 |
100 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
200 |
160 |
$3K |
| 96367 |
|
15 |
14 |
$1K |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$1K |
| 82728 |
|
38 |
37 |
$519.39 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
19 |
12 |
$373.26 |
| 84466 |
|
29 |
28 |
$317.20 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
24 |
24 |
$299.52 |
| 96415 |
|
16 |
12 |
$232.93 |
| 83540 |
|
30 |
29 |
$161.44 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
15 |
13 |
$80.24 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
29 |
29 |
$36.09 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
188 |
186 |
$16.61 |
| 1159F |
|
400 |
363 |
$0.00 |
| 3008F |
|
235 |
222 |
$0.00 |