| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,892 |
4,319 |
$131K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
39 |
25 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,498 |
4,667 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
416 |
382 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
366 |
238 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
49 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
15 |
12 |
$898.78 |
| 36415 |
Collection of venous blood by venipuncture |
2,246 |
2,058 |
$390.61 |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$312.00 |