| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
743 |
657 |
$19K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
13 |
13 |
$175.23 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$123.95 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27 |
25 |
$38.32 |
| 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) |
14 |
14 |
$38.05 |
| 82565 |
|
25 |
24 |
$35.94 |
| 80076 |
|
14 |
13 |
$19.76 |