| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,062 |
901 |
$49K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
136 |
92 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
110 |
63 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
94 |
38 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
182 |
150 |
$1K |
| 96367 |
|
26 |
12 |
$255.06 |
| 80047 |
|
18 |
12 |
$149.45 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
32 |
12 |
$25.26 |