| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,022 |
1,955 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,785 |
1,976 |
$60K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
533 |
326 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,993 |
3,001 |
$10K |
| 99233 |
Prolong inpt eval add15 m |
326 |
69 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,386 |
1,025 |
$5K |
| 96367 |
|
511 |
289 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
3,868 |
2,894 |
$3K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
165 |
105 |
$857.96 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
436 |
406 |
$468.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
44 |
24 |
$108.67 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
101 |
61 |
$85.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
20 |
12 |
$15.00 |
| 1111F |
|
421 |
342 |
$2.94 |