| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,276 |
1,621 |
$31K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
43 |
12 |
$188.88 |
| J3415 |
Injection, pyridoxine hcl, 100 mg |
43 |
12 |
$118.93 |
| J0610 |
Injection, calcium gluconate (fresenius kabi), per 10 ml |
43 |
12 |
$48.95 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
99 |
25 |
$39.98 |
| J7050 |
Infusion, normal saline solution, 250 cc |
46 |
12 |
$8.34 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |