| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
602 |
528 |
$24K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
354 |
162 |
$19K |
| 96367 |
|
327 |
121 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
502 |
321 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
259 |
129 |
$3K |
| 96417 |
|
101 |
39 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
17 |
12 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
268 |
164 |
$3K |
| 80076 |
|
222 |
124 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
508 |
321 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
95 |
39 |
$635.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
31 |
$544.67 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
30 |
28 |
$443.01 |
| 80053 |
Comprehensive metabolic panel |
36 |
29 |
$403.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
174 |
88 |
$264.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
280 |
128 |
$204.20 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
111 |
32 |
$64.41 |