| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
412 |
394 |
$19K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
191 |
110 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
672 |
478 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
94 |
65 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
35 |
27 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
65 |
27 |
$0.00 |