| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,032 |
941 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,028 |
981 |
$57K |
| 99215 |
Prolong outpt/office vis |
118 |
108 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,107 |
890 |
$7K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
33 |
26 |
$3K |
| 80053 |
Comprehensive metabolic panel |
97 |
72 |
$822.62 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
33 |
25 |
$674.48 |
| 36415 |
Collection of venous blood by venipuncture |
988 |
793 |
$99.52 |
| 3074F |
|
14 |
14 |
$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) |
29 |
28 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |