| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,116 |
2,772 |
$116K |
| 99215 |
Prolong outpt/office vis |
457 |
389 |
$14K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
119 |
55 |
$8K |
| 80053 |
Comprehensive metabolic panel |
683 |
490 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
194 |
192 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
99 |
99 |
$6K |
| 85027 |
|
523 |
384 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
137 |
67 |
$2K |
| 85007 |
|
528 |
387 |
$2K |
| 83615 |
|
311 |
219 |
$2K |
| 83550 |
|
186 |
180 |
$2K |
| 82728 |
|
185 |
179 |
$2K |
| 83540 |
|
189 |
182 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
179 |
163 |
$1K |
| 85045 |
|
209 |
205 |
$525.93 |
| 83735 |
|
101 |
51 |
$522.46 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
179 |
83 |
$137.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19 |
12 |
$14.00 |