| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,864 |
2,712 |
$253K |
| 36415 |
Collection of venous blood by venipuncture |
3,395 |
1,111 |
$189K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,109 |
2,301 |
$156K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,981 |
5,209 |
$146K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,474 |
1,271 |
$129K |
| 96367 |
|
1,968 |
470 |
$93K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
796 |
199 |
$46K |
| 99223 |
Prolong inpt eval add15 m |
114 |
96 |
$15K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
99 |
38 |
$7K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
566 |
450 |
$7K |
| J3490 |
Unclassified drugs |
596 |
164 |
$4K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
723 |
262 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
242 |
139 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
920 |
218 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
758 |
188 |
$399.12 |
| S0028 |
Injection, famotidine, 20 mg |
277 |
60 |
$270.08 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$153.36 |