| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
788 |
685 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
381 |
327 |
$13K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
16 |
12 |
$11K |
| 99215 |
Prolong outpt/office vis |
143 |
113 |
$8K |
| 80053 |
Comprehensive metabolic panel |
1,063 |
756 |
$7K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
70 |
49 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
774 |
519 |
$4K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
12 |
12 |
$515.76 |
| 36415 |
Collection of venous blood by venipuncture |
449 |
358 |
$515.44 |
| 85027 |
|
17 |
16 |
$79.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
12 |
$8.16 |