| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
528 |
405 |
$53K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
583 |
459 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
15 |
14 |
$3K |
| 99245 |
|
14 |
13 |
$2K |
| 99070 |
|
236 |
144 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
347 |
317 |
$283.38 |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
14 |
13 |
$265.02 |
| J7050 |
Infusion, normal saline solution, 250 cc |
12 |
12 |
$26.74 |