| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,757 |
1,517 |
$157K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,746 |
1,580 |
$97K |
| J7050 |
Infusion, normal saline solution, 250 cc |
96 |
76 |
$41K |
| 99072 |
|
1,380 |
1,125 |
$16K |
| 96401 |
|
32 |
30 |
$11K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
222 |
171 |
$9K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
359 |
328 |
$7K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
33 |
25 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
894 |
770 |
$2K |
| 86140 |
|
26 |
26 |
$132.08 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$91.44 |
| 85651 |
|
12 |
12 |
$41.76 |
| 99000 |
|
168 |
134 |
$29.70 |
| 80053 |
Comprehensive metabolic panel |
39 |
39 |
$0.00 |