| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
648 |
602 |
$22K |
| 99233 |
Prolong inpt eval add15 m |
185 |
52 |
$8K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
97 |
49 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
159 |
156 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
72 |
29 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
77 |
32 |
$2K |
| 96367 |
|
71 |
32 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
17 |
14 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
18 |
18 |
$1K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
69 |
27 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
305 |
234 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
36 |
$332.16 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
14 |
$311.37 |
| 96523 |
|
15 |
14 |
$277.80 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
17 |
14 |
$110.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
27 |
15 |
$53.76 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
30 |
$0.00 |