| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,369 |
1,360 |
$37K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
485 |
454 |
$11K |
| 96415 |
|
67 |
61 |
$296.35 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
190 |
189 |
$200.66 |
| J7050 |
Infusion, normal saline solution, 250 cc |
678 |
641 |
$88.17 |
| 85652 |
|
165 |
164 |
$65.64 |
| 36415 |
Collection of venous blood by venipuncture |
192 |
190 |
$49.53 |
| 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) |
166 |
165 |
$7.04 |
| 82565 |
|
110 |
110 |
$0.00 |
| 84460 |
|
122 |
121 |
$0.00 |
| 84450 |
|
122 |
121 |
$0.00 |
| 86140 |
|
152 |
151 |
$0.00 |