| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,443 |
1,219 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
633 |
548 |
$13K |
| J0485 |
Injection, belatacept, 1 mg |
50 |
24 |
$12K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
304 |
228 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
173 |
155 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,194 |
858 |
$2K |
| 96367 |
|
71 |
56 |
$487.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
121 |
96 |
$484.22 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
19 |
12 |
$233.20 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
49 |
42 |
$10.74 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$0.00 |