| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
273 |
252 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,027 |
762 |
$7K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
63 |
48 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
15 |
12 |
$125.04 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
102 |
91 |
$70.77 |
| 36415 |
Collection of venous blood by venipuncture |
176 |
150 |
$32.58 |