| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,528 |
2,671 |
$88K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
426 |
228 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,535 |
3,094 |
$16K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
992 |
549 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
720 |
551 |
$12K |
| 96367 |
|
454 |
248 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,369 |
864 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
195 |
122 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
128 |
73 |
$2K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
746 |
434 |
$1K |
| 99215 |
Prolong outpt/office vis |
22 |
19 |
$975.90 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
508 |
346 |
$352.74 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
880 |
473 |
$294.54 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
346 |
184 |
$156.00 |
| 99490 |
Ccm add 20min |
55 |
54 |
$19.04 |
| 36415 |
Collection of venous blood by venipuncture |
89 |
55 |
$0.00 |
| 99453 |
|
46 |
45 |
$0.00 |