| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,155 |
937 |
$17K |
| 96367 |
|
1,059 |
608 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,003 |
884 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,615 |
2,279 |
$13K |
| 80053 |
Comprehensive metabolic panel |
2,332 |
1,613 |
$9K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
185 |
91 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
305 |
201 |
$6K |
| 99215 |
Prolong outpt/office vis |
96 |
61 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
739 |
501 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
67 |
33 |
$604.83 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
685 |
422 |
$217.66 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
215 |
168 |
$196.55 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
13 |
$55.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,719 |
2,313 |
$12.00 |
| 91301 |
|
14 |
12 |
$0.00 |