| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,208 |
2,513 |
$98K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
153 |
62 |
$10K |
| 80053 |
Comprehensive metabolic panel |
322 |
249 |
$3K |
| 85027 |
|
458 |
321 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
119 |
50 |
$3K |
| 85007 |
|
454 |
322 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
49 |
28 |
$525.39 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
52 |
44 |
$342.59 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$336.48 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
46 |
12 |
$50.66 |