| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
637 |
436 |
$63K |
| 99233 |
Prolong inpt eval add15 m |
19 |
15 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
568 |
419 |
$3K |
| 99245 |
|
15 |
14 |
$3K |
| 99070 |
|
306 |
133 |
$941.17 |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
66 |
38 |
$645.75 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
113 |
44 |
$523.00 |
| 36415 |
Collection of venous blood by venipuncture |
281 |
256 |
$314.90 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
23 |
12 |
$291.68 |
| J7050 |
Infusion, normal saline solution, 250 cc |
62 |
36 |
$141.85 |