| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,648 |
4,924 |
$265K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,957 |
1,903 |
$153K |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
48 |
36 |
$82K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
580 |
495 |
$43K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
480 |
469 |
$39K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
48 |
48 |
$10K |
| 99205 |
Prolong outpt/office vis |
83 |
77 |
$8K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
63 |
63 |
$8K |
| 99215 |
Prolong outpt/office vis |
129 |
116 |
$8K |
| 96415 |
|
49 |
37 |
$8K |
| 88312 |
|
46 |
46 |
$6K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
49 |
37 |
$5K |
| 88313 |
|
46 |
46 |
$4K |
| 91065 |
|
12 |
12 |
$2K |
| J1720 |
Injection, hydrocortisone sodium succinate, up to 100 mg |
48 |
37 |
$1K |
| 83013 |
|
70 |
67 |
$1K |
| 99441 |
|
48 |
45 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
24 |
$896.93 |
| 83014 |
|
70 |
67 |
$150.29 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
64 |
51 |
$29.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
84 |
65 |
$1.28 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
67 |
51 |
$0.12 |
| C9285 |
Lidocaine 70 mg/tetracaine 70 mg, per patch |
38 |
27 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
21 |
13 |
$0.00 |