| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
415 |
308 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
453 |
341 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,501 |
1,009 |
$9K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
151 |
81 |
$7K |
| 80047 |
|
488 |
300 |
$3K |
| 82803 |
|
79 |
62 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
437 |
366 |
$804.01 |
| 82565 |
|
127 |
112 |
$667.70 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
18 |
12 |
$353.92 |
| 82330 |
|
16 |
12 |
$212.79 |
| 84295 |
|
16 |
12 |
$83.55 |
| 84520 |
|
16 |
12 |
$45.84 |
| 82435 |
|
16 |
12 |
$40.92 |
| 84132 |
|
16 |
12 |
$40.18 |