| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
425 |
195 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
437 |
199 |
$18K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
310 |
155 |
$18K |
| 96367 |
|
306 |
155 |
$15K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
352 |
165 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
41 |
$5K |
| 96368 |
|
307 |
155 |
$4K |
| 36000 |
|
305 |
155 |
$224.26 |
| J3415 |
Injection, pyridoxine hcl, 100 mg |
165 |
82 |
$72.55 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
165 |
83 |
$22.02 |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
188 |
97 |
$10.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
167 |
82 |
$8.82 |
| 2000F |
|
292 |
150 |
$0.00 |
| 2010F |
|
276 |
146 |
$0.00 |
| J3490 |
Unclassified drugs |
828 |
83 |
$0.00 |
| J3590 |
Unclassified biologics |
164 |
83 |
$0.00 |
| E0776 |
Iv pole |
168 |
83 |
$0.00 |
| J0612 |
Injection, calcium gluconate, not otherwise specified, 10 mg |
166 |
83 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
196 |
100 |
$0.00 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
195 |
98 |
$0.00 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
192 |
98 |
$0.00 |