| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88185 |
|
28 |
26 |
$14K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
420 |
82 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,170 |
387 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
472 |
83 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
408 |
332 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
275 |
242 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
90 |
90 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
681 |
582 |
$2K |
| 88184 |
|
28 |
26 |
$977.92 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
664 |
285 |
$835.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
78 |
16 |
$574.16 |
| 36415 |
Collection of venous blood by venipuncture |
697 |
597 |
$418.80 |
| 88189 |
|
28 |
26 |
$192.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
125 |
47 |
$103.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
77 |
16 |
$74.00 |
| 99000 |
|
639 |
536 |
$0.00 |