| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,131 |
799 |
$334K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,164 |
1,698 |
$84K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
766 |
489 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,918 |
1,364 |
$19K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,456 |
876 |
$8K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
673 |
427 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
230 |
213 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
154 |
93 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
401 |
318 |
$4K |
| 99245 |
|
49 |
49 |
$2K |
| 96417 |
|
64 |
39 |
$1K |
| 96415 |
|
20 |
13 |
$107.45 |
| 96367 |
|
18 |
12 |
$64.28 |
| 96379 |
|
21 |
12 |
$0.00 |