| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
418 |
336 |
$22K |
| 99205 |
Prolong outpt/office vis |
58 |
58 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,196 |
1,033 |
$4K |
| 96367 |
|
93 |
68 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
18 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,358 |
1,158 |
$850.87 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
14 |
12 |
$7.98 |