| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
537 |
404 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
1,143 |
665 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,219 |
817 |
$2K |
| 36591 |
|
124 |
94 |
$1K |
| 96367 |
|
32 |
12 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
32 |
13 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
247 |
72 |
$0.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
337 |
109 |
$0.00 |