| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,830 |
2,594 |
$40K |
| 99443 |
|
1,165 |
1,123 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,294 |
1,214 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,864 |
5,247 |
$10K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
578 |
260 |
$7K |
| 99000 |
|
1,468 |
1,290 |
$5K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
68 |
38 |
$3K |
| 96415 |
|
484 |
213 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
416 |
233 |
$1K |
| 71250 |
|
13 |
13 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$953.21 |
| 96367 |
|
404 |
204 |
$929.09 |
| 96523 |
|
37 |
37 |
$328.03 |
| 96402 |
|
13 |
12 |
$215.94 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
385 |
191 |
$121.63 |
| 36415 |
Collection of venous blood by venipuncture |
7,075 |
5,345 |
$21.30 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
20 |
12 |
$3.34 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |