| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
465 |
334 |
$46K |
| 99233 |
Prolong inpt eval add15 m |
19 |
13 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
427 |
317 |
$3K |
| 99070 |
|
178 |
81 |
$1K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
32 |
14 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
197 |
179 |
$158.16 |