| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0717 |
Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
4,853 |
4,318 |
$13.38M |
| J0490 |
Injection, belimumab, 10 mg |
254 |
223 |
$1.10M |
| J0491 |
Injection, anifrolumab-fnia, 1 mg |
203 |
203 |
$858K |
| J1602 |
Injection, golimumab, 1 mg, for intravenous use |
217 |
179 |
$421K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,618 |
5,575 |
$225K |
| 96401 |
|
3,689 |
3,262 |
$188K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
3,374 |
3,055 |
$180K |
| J0129 |
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
41 |
36 |
$110K |
| 99215 |
Prolong outpt/office vis |
1,412 |
1,398 |
$66K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
857 |
854 |
$58K |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
31 |
26 |
$30K |
| 99205 |
Prolong outpt/office vis |
120 |
118 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
221 |
218 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
891 |
805 |
$4K |
| 96415 |
|
284 |
222 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
31 |
29 |
$436.14 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
37 |
36 |
$372.75 |
| 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) |
13 |
12 |
$252.77 |
| 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 |
33 |
31 |
$76.91 |