| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,191 |
2,526 |
$335K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,626 |
2,038 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,294 |
498 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
2,937 |
1,678 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
67 |
14 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
17 |
15 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
213 |
166 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
308 |
146 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
25 |
12 |
$1K |
| 96367 |
|
201 |
93 |
$761.32 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
274 |
132 |
$499.08 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
684 |
336 |
$46.68 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
248 |
129 |
$31.83 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
23 |
12 |
$2.32 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
23 |
12 |
$0.00 |