| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
804 |
657 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57 |
54 |
$317.62 |
| 99490 |
Ccm add 20min |
123 |
123 |
$189.47 |
| 80053 |
Comprehensive metabolic panel |
116 |
104 |
$134.94 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
16 |
12 |
$131.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
62 |
55 |
$120.45 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$57.22 |
| 82728 |
|
26 |
25 |
$44.98 |
| 83550 |
|
25 |
24 |
$28.83 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
17 |
14 |
$28.31 |
| 83615 |
|
43 |
40 |
$24.95 |
| 83540 |
|
26 |
25 |
$21.35 |
| 83735 |
|
17 |
15 |
$5.36 |
| 84550 |
|
15 |
12 |
$3.62 |
| 36415 |
Collection of venous blood by venipuncture |
347 |
283 |
$1.26 |
| 84100 |
|
18 |
16 |
$0.00 |