| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
2,724 |
640 |
$152K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,036 |
1,786 |
$117K |
| 99223 |
Prolong inpt eval add15 m |
596 |
555 |
$63K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,465 |
819 |
$59K |
| 99215 |
Prolong outpt/office vis |
566 |
513 |
$45K |
| 80053 |
Comprehensive metabolic panel |
2,775 |
2,208 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,251 |
2,406 |
$19K |
| 96367 |
|
1,037 |
555 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
90 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,653 |
1,941 |
$4K |
| J1453 |
Injection, fosaprepitant, 1 mg |
65 |
38 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
581 |
358 |
$2K |
| 82728 |
|
135 |
131 |
$1K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
61 |
40 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
97 |
63 |
$779.67 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
677 |
352 |
$703.69 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15 |
12 |
$613.78 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
20 |
12 |
$237.72 |