| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,834 |
1,940 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
865 |
646 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,264 |
1,721 |
$5K |
| 96367 |
|
29 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,010 |
1,740 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
51 |
26 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
273 |
131 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
224 |
51 |
$1K |
| 99215 |
Prolong outpt/office vis |
47 |
37 |
$898.70 |
| 80053 |
Comprehensive metabolic panel |
261 |
192 |
$276.30 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
150 |
50 |
$41.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
41 |
25 |
$3.90 |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
607 |
374 |
$1.56 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
17 |
12 |
$0.00 |