| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q5106 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units |
986 |
591 |
$53K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
466 |
289 |
$34K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,525 |
645 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,427 |
2,733 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
6,454 |
4,004 |
$4K |
| 99215 |
Prolong outpt/office vis |
1,977 |
1,452 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,188 |
1,048 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,741 |
641 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,228 |
2,746 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,198 |
3,829 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
260 |
237 |
$1K |
| J7050 |
Infusion, normal saline solution, 250 cc |
945 |
465 |
$638.16 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
888 |
243 |
$572.39 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,142 |
266 |
$474.01 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
360 |
167 |
$360.86 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
383 |
228 |
$270.59 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
166 |
88 |
$212.60 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$46.13 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,656 |
1,409 |
$0.93 |
| G8482 |
Influenza immunization administered or previously received |
2,142 |
1,555 |
$0.01 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
126 |
118 |
$0.01 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,837 |
3,931 |
$0.01 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
2,244 |
1,733 |
$0.01 |
| 3017F |
|
340 |
315 |
$0.01 |
| 1036F |
|
295 |
269 |
$0.01 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
1,030 |
842 |
$0.00 |
| 1124F |
|
1,041 |
961 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
123 |
119 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
263 |
147 |
$0.00 |
| 1111F |
|
21 |
19 |
$0.00 |