| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
569 |
492 |
$19K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
499 |
269 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
447 |
429 |
$9K |
| 80053 |
Comprehensive metabolic panel |
866 |
527 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,032 |
650 |
$6K |
| 96367 |
|
219 |
132 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
193 |
119 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
36 |
28 |
$535.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
140 |
91 |
$184.78 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
15 |
13 |
$6.36 |