| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,838 |
2,983 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,476 |
3,647 |
$105K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,273 |
936 |
$73K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,072 |
1,178 |
$58K |
| 80053 |
Comprehensive metabolic panel |
5,012 |
3,463 |
$48K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,069 |
4,250 |
$38K |
| 83615 |
|
3,169 |
2,648 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,442 |
855 |
$9K |
| 83550 |
|
842 |
732 |
$7K |
| 83540 |
|
847 |
736 |
$5K |
| 82728 |
|
634 |
550 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
62 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
89 |
68 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,185 |
425 |
$1K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
64 |
24 |
$1K |
| 96417 |
|
45 |
12 |
$1K |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
302 |
128 |
$723.45 |
| 36415 |
Collection of venous blood by venipuncture |
3,557 |
2,378 |
$617.40 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
18 |
12 |
$341.99 |
| S0028 |
Injection, famotidine, 20 mg |
140 |
49 |
$82.11 |