| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,067 |
912 |
$39K |
| 80053 |
Comprehensive metabolic panel |
1,406 |
1,087 |
$14K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
341 |
160 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,711 |
1,301 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
299 |
279 |
$6K |
| 82728 |
|
302 |
271 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
76 |
39 |
$2K |
| 83550 |
|
277 |
259 |
$2K |
| 96367 |
|
131 |
49 |
$2K |
| 83540 |
|
279 |
261 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
12 |
$341.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
72 |
38 |
$108.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$98.10 |