| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,007 |
2,423 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,270 |
1,138 |
$40K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,682 |
4,059 |
$36K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
385 |
236 |
$21K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,860 |
1,359 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
5,734 |
4,335 |
$11K |
| 80053 |
Comprehensive metabolic panel |
1,280 |
1,026 |
$11K |
| 80047 |
|
507 |
377 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
191 |
121 |
$3K |
| 82803 |
|
143 |
41 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
72 |
52 |
$2K |
| 80076 |
|
103 |
92 |
$658.93 |
| 82565 |
|
135 |
65 |
$430.84 |
| 82728 |
|
38 |
38 |
$381.55 |
| 82330 |
|
24 |
13 |
$253.11 |
| 83615 |
|
31 |
26 |
$169.69 |
| 83540 |
|
25 |
25 |
$113.06 |
| 84295 |
|
25 |
14 |
$97.27 |
| 83550 |
|
14 |
14 |
$95.39 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
12 |
$92.07 |
| 84520 |
|
25 |
14 |
$58.31 |
| 84132 |
|
25 |
14 |
$36.21 |
| 82435 |
|
25 |
14 |
$28.15 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
33 |
24 |
$26.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
23 |
12 |
$10.93 |