| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,697 |
7,914 |
$463K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,494 |
2,586 |
$239K |
| 99205 |
Prolong outpt/office vis |
723 |
723 |
$108K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
4,435 |
2,536 |
$74K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,005 |
11,350 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
482 |
482 |
$36K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,092 |
1,297 |
$24K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,130 |
837 |
$20K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
5,428 |
3,046 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
15,577 |
11,732 |
$5K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
3,249 |
2,308 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
20 |
12 |
$393.22 |
| J7050 |
Infusion, normal saline solution, 250 cc |
206 |
133 |
$151.14 |