| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
781 |
557 |
$79K |
| 99233 |
Prolong inpt eval add15 m |
36 |
24 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
798 |
569 |
$5K |
| 99070 |
|
396 |
189 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
14 |
$2K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
97 |
57 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$2K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
271 |
112 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
34 |
14 |
$462.44 |
| 36415 |
Collection of venous blood by venipuncture |
461 |
406 |
$424.48 |
| J7050 |
Infusion, normal saline solution, 250 cc |
41 |
24 |
$99.20 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
35 |
13 |
$24.32 |