| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,735 |
3,595 |
$76K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,924 |
1,204 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,956 |
998 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,665 |
4,936 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
224 |
71 |
$3K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,192 |
813 |
$3K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,546 |
899 |
$3K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
354 |
168 |
$3K |
| 96415 |
|
769 |
530 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
528 |
252 |
$3K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
810 |
552 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,811 |
2,390 |
$2K |
| 99215 |
Prolong outpt/office vis |
147 |
139 |
$2K |
| 96367 |
|
260 |
166 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,229 |
726 |
$811.48 |
| 99000 |
|
102 |
49 |
$337.14 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
404 |
194 |
$227.79 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
465 |
266 |
$119.73 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
26 |
$99.15 |
| J7050 |
Infusion, normal saline solution, 250 cc |
86 |
57 |
$46.14 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
136 |
37 |
$0.00 |