| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0138 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
295 |
121 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
801 |
410 |
$28K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
765 |
295 |
$17K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
357 |
150 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
402 |
180 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,508 |
1,162 |
$5K |
| 83550 |
|
1,247 |
1,021 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,263 |
1,029 |
$5K |
| 82728 |
|
797 |
688 |
$4K |
| 83540 |
|
1,247 |
1,020 |
$4K |
| J1750 |
Injection, iron dextran, 50 mg |
44 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$166.05 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
15 |
$156.26 |
| 36415 |
Collection of venous blood by venipuncture |
83 |
43 |
$75.28 |
| 83735 |
|
15 |
12 |
$34.68 |