| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
235 |
228 |
$15K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
16 |
12 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
43 |
26 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
149 |
118 |
$1K |
| 80053 |
Comprehensive metabolic panel |
83 |
69 |
$779.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
12 |
$25.15 |