| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
1,563 |
367 |
$109K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,107 |
242 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
902 |
793 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
664 |
515 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
154 |
153 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
948 |
839 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,068 |
593 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,787 |
691 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,246 |
1,090 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
171 |
101 |
$573.19 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
59 |
12 |
$491.56 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
26 |
12 |
$77.60 |
| 99000 |
|
1,171 |
1,025 |
$0.00 |