| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
1,788 |
1,292 |
$42K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
776 |
533 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
30 |
$1K |
| 82728 |
|
161 |
152 |
$698.08 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
887 |
592 |
$466.76 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
37 |
24 |
$330.24 |
| 82378 |
|
64 |
51 |
$159.31 |
| 84443 |
Thyroid stimulating hormone (TSH) |
83 |
69 |
$60.36 |
| 86300 |
|
148 |
105 |
$41.20 |
| 84165 |
|
31 |
28 |
$10.63 |
| 83735 |
|
112 |
75 |
$6.63 |
| 36415 |
Collection of venous blood by venipuncture |
435 |
341 |
$2.97 |
| 83540 |
|
187 |
175 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
26 |
26 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
21 |
15 |
$0.00 |
| 84439 |
|
18 |
13 |
$0.00 |
| 83550 |
|
171 |
159 |
$0.00 |
| 83615 |
|
61 |
52 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
12 |
$0.00 |
| 82746 |
|
13 |
12 |
$0.00 |
| 83521 |
|
28 |
26 |
$0.00 |
| 82607 |
|
40 |
40 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
63 |
53 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
24 |
15 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
16 |
13 |
$0.00 |