| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,164 |
2,148 |
$188K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,050 |
1,045 |
$63K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$5K |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
714 |
712 |
$3K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 99442 |
|
26 |
26 |
$2K |
| 85651 |
|
600 |
599 |
$1K |
| 99443 |
|
13 |
13 |
$1K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,182 |
1,161 |
$186.35 |
| 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) |
42 |
42 |
$123.92 |
| J7050 |
Infusion, normal saline solution, 250 cc |
26 |
25 |
$13.42 |
| 99072 |
|
1,193 |
1,139 |
$8.00 |