| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,129 |
1,126 |
$32K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
76 |
75 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37 |
37 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
127 |
127 |
$143.78 |
| 36415 |
Collection of venous blood by venipuncture |
109 |
109 |
$64.91 |
| 85652 |
|
116 |
116 |
$51.55 |
| J7050 |
Infusion, normal saline solution, 250 cc |
142 |
136 |
$18.83 |
| 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) |
170 |
169 |
$0.00 |
| 84450 |
|
101 |
101 |
$0.00 |
| 84520 |
|
70 |
70 |
$0.00 |
| 82565 |
|
124 |
124 |
$0.00 |
| 84460 |
|
89 |
89 |
$0.00 |
| 86140 |
|
116 |
116 |
$0.00 |