| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,276 |
3,006 |
$172K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,678 |
3,309 |
$127K |
| 99195 |
|
844 |
704 |
$58K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
847 |
449 |
$19K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
559 |
462 |
$16K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
151 |
87 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,757 |
1,299 |
$11K |
| 96523 |
|
495 |
274 |
$7K |
| 99215 |
Prolong outpt/office vis |
121 |
103 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
206 |
118 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
19 |
13 |
$966.31 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
862 |
717 |
$808.62 |
| 36415 |
Collection of venous blood by venipuncture |
250 |
212 |
$561.41 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
732 |
378 |
$439.86 |
| 80053 |
Comprehensive metabolic panel |
32 |
25 |
$380.35 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
629 |
349 |
$270.96 |