| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,596 |
2,951 |
$108K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
149 |
135 |
$14K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
38 |
28 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
128 |
115 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
72 |
64 |
$18.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
23 |
12 |
$1.35 |
| 3074F |
|
48 |
44 |
$0.00 |
| 3008F |
|
308 |
282 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
15 |
12 |
$0.00 |
| 3078F |
|
30 |
26 |
$0.00 |