| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
209 |
204 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
120 |
$13K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
40 |
27 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
66 |
41 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
297 |
212 |
$2K |
| 80053 |
Comprehensive metabolic panel |
116 |
103 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
29 |
$816.83 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
14 |
12 |
$773.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
61 |
37 |
$100.35 |
| 83615 |
|
14 |
13 |
$80.34 |