| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,815 |
3,314 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,778 |
1,453 |
$32K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,167 |
4,810 |
$28K |
| 80053 |
Comprehensive metabolic panel |
3,755 |
3,186 |
$20K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
212 |
126 |
$10K |
| 96367 |
|
462 |
289 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
100 |
66 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
497 |
344 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
66 |
36 |
$524.60 |
| 82728 |
|
41 |
41 |
$221.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
15 |
13 |
$192.00 |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$188.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
23 |
12 |
$18.54 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
52 |
42 |
$15.07 |
| 36415 |
Collection of venous blood by venipuncture |
1,752 |
1,449 |
$0.00 |