| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,697 |
1,261 |
$80K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,655 |
2,738 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117 |
89 |
$6K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
26 |
13 |
$2K |
| 99215 |
Prolong outpt/office vis |
20 |
12 |
$924.09 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
12 |
$118.08 |
| 36416 |
|
303 |
223 |
$49.26 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
13 |
$0.00 |