| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,087 |
2,260 |
$3.21M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,822 |
2,313 |
$1.15M |
| 80053 |
Comprehensive metabolic panel |
321 |
224 |
$133K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
348 |
190 |
$76K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
754 |
401 |
$48K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
239 |
106 |
$23K |
| 96367 |
|
452 |
241 |
$7K |
| 85027 |
|
51 |
30 |
$556.85 |
| 96523 |
|
14 |
12 |
$222.27 |
| J1750 |
Injection, iron dextran, 50 mg |
22 |
12 |
$210.85 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
227 |
129 |
$5.52 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
336 |
187 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
81 |
72 |
$0.00 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
69 |
37 |
$0.00 |