| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,082 |
1,078 |
$29K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
157 |
156 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
70 |
70 |
$153.38 |
| 85652 |
|
71 |
71 |
$50.82 |
| J7050 |
Infusion, normal saline solution, 250 cc |
178 |
177 |
$22.07 |
| 36415 |
Collection of venous blood by venipuncture |
80 |
80 |
$13.37 |
| 82565 |
|
54 |
54 |
$0.00 |
| 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) |
180 |
179 |
$0.00 |
| 84460 |
|
54 |
54 |
$0.00 |
| 84450 |
|
55 |
55 |
$0.00 |
| 84520 |
|
14 |
14 |
$0.00 |
| 86140 |
|
72 |
72 |
$0.00 |
| 82040 |
|
13 |
13 |
$0.00 |