| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
216 |
127 |
$36K |
| J1750 |
Injection, iron dextran, 50 mg |
25 |
24 |
$9K |
| 82728 |
|
193 |
187 |
$7K |
| J1756 |
Injection, iron sucrose, 1 mg |
31 |
14 |
$7K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
32 |
15 |
$5K |
| 84466 |
|
143 |
138 |
$5K |
| 83540 |
|
193 |
188 |
$4K |
| 85027 |
|
140 |
130 |
$3K |
| 99221 |
|
18 |
17 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
51 |
26 |
$2K |
| 83550 |
|
30 |
29 |
$707.43 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27 |
26 |
$550.08 |
| 82747 |
|
15 |
14 |
$525.00 |
| 82607 |
|
16 |
15 |
$494.41 |
| 86140 |
|
13 |
13 |
$344.81 |
| 85045 |
|
14 |
13 |
$116.16 |