| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
578 |
414 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
575 |
413 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,298 |
784 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
60 |
54 |
$264.87 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
151 |
111 |
$122.70 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
29 |
25 |
$89.31 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
18 |
12 |
$71.47 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
29 |
25 |
$67.92 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
30 |
27 |
$19.43 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
32 |
25 |
$9.60 |