| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,424 |
9,100 |
$655K |
| 99205 |
Prolong outpt/office vis |
1,839 |
1,835 |
$211K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
3,518 |
3,486 |
$81K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
424 |
424 |
$56K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
684 |
383 |
$54K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
251 |
145 |
$45K |
| 99215 |
Prolong outpt/office vis |
370 |
348 |
$31K |
| 96367 |
|
495 |
268 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
297 |
290 |
$10K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
335 |
335 |
$8K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
286 |
153 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
66 |
66 |
$7K |
| J9045 |
Injection, carboplatin, 50 mg |
27 |
12 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
350 |
181 |
$4K |
| S2900 |
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) |
70 |
70 |
$3K |
| 99245 |
|
12 |
12 |
$2K |
| 99459 |
|
125 |
124 |
$1K |
| 96417 |
|
27 |
12 |
$833.58 |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
56 |
26 |
$168.80 |
| S0028 |
Injection, famotidine, 20 mg |
52 |
33 |
$0.00 |