| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
20 |
13 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
15 |
$932.29 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
17 |
12 |
$446.91 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
39 |
13 |
$210.59 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
20 |
12 |
$53.42 |