| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
696 |
631 |
$37K |
| 99233 |
Prolong inpt eval add15 m |
497 |
173 |
$31K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
255 |
181 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,962 |
1,501 |
$13K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
78 |
57 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
25 |
24 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
38 |
12 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$529.31 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
33 |
25 |
$476.52 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
13 |
$111.58 |
| 36415 |
Collection of venous blood by venipuncture |
211 |
171 |
$56.04 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
60 |
58 |
$49.31 |