| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
347 |
287 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
400 |
360 |
$14K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
30 |
24 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
287 |
158 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
69 |
69 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
39 |
39 |
$714.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
439 |
338 |
$295.98 |
| 80053 |
Comprehensive metabolic panel |
165 |
130 |
$70.21 |
| 36415 |
Collection of venous blood by venipuncture |
243 |
185 |
$2.31 |