| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,469 |
1,416 |
$66K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
887 |
768 |
$36K |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
39 |
37 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68 |
67 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
129 |
125 |
$662.58 |
| 86140 |
|
127 |
125 |
$529.61 |
| 96415 |
|
76 |
67 |
$525.32 |
| 80053 |
Comprehensive metabolic panel |
57 |
56 |
$438.05 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
60 |
59 |
$288.45 |
| 85652 |
|
126 |
124 |
$285.30 |