| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
629 |
607 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
243 |
240 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
546 |
431 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
88 |
82 |
$352.86 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
530 |
375 |
$100.28 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
30 |
12 |
$99.51 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
26 |
12 |
$3.12 |
| 36415 |
Collection of venous blood by venipuncture |
617 |
455 |
$0.00 |