| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
527 |
472 |
$13K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
190 |
128 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,611 |
1,217 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,469 |
1,127 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93 |
89 |
$4K |
| 80053 |
Comprehensive metabolic panel |
909 |
730 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
39 |
38 |
$3K |
| 99195 |
|
63 |
61 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
58 |
26 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
46 |
46 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
67 |
67 |
$932.13 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
71 |
40 |
$656.69 |
| 84443 |
Thyroid stimulating hormone (TSH) |
101 |
91 |
$453.60 |
| 82728 |
|
212 |
186 |
$322.08 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
38 |
24 |
$238.00 |
| 85610 |
|
83 |
59 |
$196.94 |
| 84439 |
|
88 |
78 |
$146.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
12 |
$88.56 |
| 83550 |
|
64 |
55 |
$55.09 |
| 83540 |
|
64 |
55 |
$40.74 |
| 86300 |
|
27 |
26 |
$0.00 |
| 82607 |
|
20 |
17 |
$0.00 |
| 83615 |
|
16 |
14 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
70 |
70 |
$0.00 |