| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
277 |
235 |
$11K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
143 |
73 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
323 |
252 |
$2K |
| 80053 |
Comprehensive metabolic panel |
168 |
136 |
$2K |
| 99215 |
Prolong outpt/office vis |
29 |
27 |
$1K |
| 96367 |
|
51 |
24 |
$783.51 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
16 |
16 |
$211.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
25 |
12 |
$27.04 |