| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
180 |
144 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
176 |
167 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
20 |
12 |
$4K |
| 96367 |
|
27 |
12 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
24 |
12 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28 |
14 |
$227.64 |