| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,818 |
5,597 |
$377K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,634 |
3,218 |
$291K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
980 |
528 |
$115K |
| 96367 |
|
1,137 |
645 |
$66K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
900 |
311 |
$50K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,429 |
7,211 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
306 |
237 |
$15K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
217 |
55 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
122 |
68 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
384 |
307 |
$854.54 |
| 36000 |
|
33 |
12 |
$654.92 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
614 |
357 |
$467.16 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
12 |
12 |
$441.14 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
201 |
105 |
$371.25 |
| 96523 |
|
14 |
13 |
$331.87 |