| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,231 |
798 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
674 |
572 |
$30K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
204 |
114 |
$13K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
169 |
99 |
$6K |
| 80053 |
Comprehensive metabolic panel |
330 |
259 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
514 |
398 |
$3K |
| J1750 |
Injection, iron dextran, 50 mg |
23 |
13 |
$3K |
| J1756 |
Injection, iron sucrose, 1 mg |
48 |
14 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$783.40 |
| 85027 |
|
97 |
74 |
$557.98 |
| 96367 |
|
28 |
13 |
$448.26 |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$420.55 |
| 85007 |
|
82 |
61 |
$273.80 |