| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
290 |
169 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
377 |
360 |
$14K |
| 96367 |
|
124 |
76 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
42 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
72 |
49 |
$404.86 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
21 |
12 |
$29.58 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
25 |
25 |
$0.00 |