| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,537 |
1,337 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,211 |
1,946 |
$71K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,605 |
4,797 |
$51K |
| 80053 |
Comprehensive metabolic panel |
6,979 |
5,372 |
$30K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
343 |
178 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
8,415 |
5,872 |
$12K |
| 96367 |
|
411 |
198 |
$3K |
| 83615 |
|
1,436 |
1,240 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
380 |
196 |
$2K |
| 82378 |
|
63 |
50 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
163 |
157 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
444 |
201 |
$196.01 |
| 90756 |
|
30 |
28 |
$159.53 |
| 90674 |
|
18 |
12 |
$140.65 |
| 85007 |
|
14 |
13 |
$55.91 |
| 85027 |
|
14 |
13 |
$33.02 |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
20 |
13 |
$30.40 |
| G0008 |
Administration of influenza virus vaccine |
18 |
16 |
$0.00 |