| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,494 |
6,506 |
$406K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
783 |
699 |
$32K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
549 |
285 |
$32K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,107 |
2,192 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,946 |
1,138 |
$10K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
29 |
12 |
$7K |
| Q5106 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units |
18 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
385 |
298 |
$723.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$649.63 |
| 96367 |
|
34 |
12 |
$639.52 |
| 90756 |
|
35 |
28 |
$531.72 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
134 |
108 |
$180.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
12 |
$18.75 |
| J7050 |
Infusion, normal saline solution, 250 cc |
25 |
12 |
$5.49 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
16 |
$0.00 |