| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,046 |
1,072 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
160 |
79 |
$8K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
187 |
72 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,952 |
1,535 |
$8K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
152 |
55 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,048 |
1,584 |
$1K |