| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
830 |
749 |
$57K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
358 |
216 |
$24K |
| 80053 |
Comprehensive metabolic panel |
637 |
532 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
900 |
739 |
$5K |
| 99205 |
Prolong outpt/office vis |
28 |
25 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
78 |
55 |
$3K |
| J1756 |
Injection, iron sucrose, 1 mg |
23 |
12 |
$978.63 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$897.49 |
| 83550 |
|
82 |
73 |
$717.47 |
| 82728 |
|
80 |
71 |
$651.34 |
| 83540 |
|
82 |
73 |
$534.50 |
| 96367 |
|
25 |
12 |
$458.64 |
| 82607 |
|
12 |
12 |
$108.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
38 |
25 |
$36.06 |