| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,355 |
2,019 |
$50K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
108 |
75 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
18 |
13 |
$1K |
| 96367 |
|
16 |
12 |
$996.75 |
| 96417 |
|
16 |
12 |
$987.92 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
84 |
57 |
$918.33 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
175 |
157 |
$807.65 |
| 36415 |
Collection of venous blood by venipuncture |
700 |
554 |
$681.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
739 |
581 |
$351.03 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$165.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
12 |
$69.56 |