| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,650 |
4,311 |
$1.71M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,513 |
8,788 |
$271K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
415 |
322 |
$118K |
| 99223 |
Prolong inpt eval add15 m |
380 |
312 |
$28K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
764 |
224 |
$10K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
413 |
135 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
156 |
133 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
242 |
83 |
$4K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
352 |
130 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
150 |
49 |
$524.32 |
| 96367 |
|
165 |
52 |
$246.37 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
82 |
12 |
$2.40 |
| J1750 |
Injection, iron dextran, 50 mg |
52 |
12 |
$0.00 |