| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,906 |
11,302 |
$867K |
| 80053 |
Comprehensive metabolic panel |
19,105 |
13,955 |
$93K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
22,665 |
15,922 |
$79K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
702 |
542 |
$66K |
| 99215 |
Prolong outpt/office vis |
386 |
300 |
$33K |
| 36415 |
Collection of venous blood by venipuncture |
23,339 |
16,185 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
457 |
404 |
$21K |
| 83615 |
|
2,737 |
2,101 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
257 |
200 |
$6K |
| 99205 |
Prolong outpt/office vis |
32 |
27 |
$3K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
15 |
12 |
$2K |
| 96367 |
|
76 |
62 |
$2K |
| 96417 |
|
15 |
13 |
$773.21 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
53 |
36 |
$559.64 |
| 82728 |
|
42 |
40 |
$316.57 |
| 82378 |
|
36 |
24 |
$272.86 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
40 |
25 |
$252.88 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
81 |
65 |
$71.42 |
| 83735 |
|
15 |
13 |
$48.24 |
| 83540 |
|
12 |
12 |
$47.87 |