| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,026 |
896 |
$59K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
350 |
179 |
$17K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
81 |
40 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
758 |
523 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
257 |
134 |
$101.12 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
24 |
15 |
$73.29 |