| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,058 |
4,907 |
$601K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,837 |
1,168 |
$190K |
| 80053 |
Comprehensive metabolic panel |
6,120 |
4,422 |
$37K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,510 |
4,633 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
277 |
249 |
$19K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 96367 |
|
19 |
12 |
$680.20 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16 |
12 |
$460.41 |
| 99406 |
|
16 |
12 |
$188.01 |
| 36415 |
Collection of venous blood by venipuncture |
616 |
335 |
$63.00 |
| 36591 |
|
57 |
40 |
$60.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
21 |
14 |
$34.69 |