| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
190 |
188 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
170 |
140 |
$3K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
17 |
13 |
$395.58 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
42 |
40 |
$132.32 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$38.10 |
| 80053 |
Comprehensive metabolic panel |
26 |
24 |
$0.00 |