| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,134 |
754 |
$38K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
203 |
89 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
298 |
269 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
101 |
99 |
$2K |
| 85027 |
|
104 |
72 |
$584.87 |
| 80053 |
Comprehensive metabolic panel |
49 |
41 |
$500.40 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
20 |
13 |
$388.78 |
| 85007 |
|
104 |
72 |
$339.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
207 |
86 |
$186.03 |