| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
168 |
153 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,165 |
728 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
190 |
141 |
$5K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
53 |
27 |
$4K |
| 99215 |
Prolong outpt/office vis |
51 |
39 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
20 |
12 |
$23.91 |