| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,351 |
1,418 |
$235K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
8,512 |
1,322 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,046 |
3,554 |
$152K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
8,969 |
1,464 |
$64K |
| 96367 |
|
8,901 |
1,484 |
$63K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
8,399 |
1,277 |
$45K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
8,749 |
940 |
$15K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,219 |
874 |
$13K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
7,503 |
1,177 |
$12K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
11,630 |
1,404 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
80 |
25 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
7,375 |
1,176 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$1K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
838 |
163 |
$228.06 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
729 |
167 |
$175.67 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
71 |
17 |
$26.66 |