| Code | Description | Claims | Beneficiaries | Total Paid |
| 80053 |
Comprehensive metabolic panel |
1,011 |
565 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
199 |
108 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,175 |
654 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
97 |
41 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
47 |
12 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
139 |
76 |
$1K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
22 |
12 |
$152.40 |