| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,171 |
1,790 |
$74K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
238 |
90 |
$17K |
| 99215 |
Prolong outpt/office vis |
466 |
369 |
$16K |
| 96367 |
|
284 |
89 |
$10K |
| 80053 |
Comprehensive metabolic panel |
269 |
188 |
$3K |
| 85027 |
|
345 |
226 |
$2K |
| 85007 |
|
354 |
238 |
$1K |
| 83615 |
|
130 |
95 |
$640.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
110 |
25 |
$141.85 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19 |
14 |
$118.63 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15 |
13 |
$102.09 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
66 |
24 |
$44.14 |