| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,996 |
2,187 |
$90K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
175 |
51 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$894.98 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
23 |
13 |
$870.22 |
| 85027 |
|
40 |
28 |
$238.39 |
| 85007 |
|
40 |
28 |
$145.23 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
12 |
$82.07 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
31 |
12 |
$18.36 |