| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,055 |
2,969 |
$102K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,168 |
810 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,876 |
1,480 |
$36K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,074 |
5,123 |
$17K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
1,463 |
546 |
$9K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,557 |
593 |
$960.63 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$957.16 |
| 36415 |
Collection of venous blood by venipuncture |
5,719 |
4,141 |
$466.77 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
127 |
48 |
$263.01 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
53 |
24 |
$16.11 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
67 |
25 |
$14.61 |