| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,434 |
1,317 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,427 |
1,295 |
$58K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,947 |
1,544 |
$10K |
| 99195 |
|
126 |
108 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
696 |
450 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
37 |
$2K |
| 96523 |
|
24 |
12 |
$425.28 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
12 |
12 |
$324.14 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
79 |
70 |
$93.01 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
21 |
13 |
$69.84 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
53 |
38 |
$58.27 |