| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
1,061 |
796 |
$190K |
| Q5106 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units |
1,869 |
789 |
$79K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
633 |
330 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,223 |
3,118 |
$43K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,931 |
873 |
$20K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,206 |
1,400 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,568 |
2,584 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
249 |
245 |
$5K |
| 96367 |
|
1,957 |
960 |
$4K |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
1,630 |
1,172 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
379 |
370 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
394 |
355 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,280 |
5,395 |
$2K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
114 |
53 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,131 |
1,342 |
$859.01 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,051 |
954 |
$533.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
965 |
335 |
$305.30 |
| 36415 |
Collection of venous blood by venipuncture |
5,120 |
4,102 |
$125.25 |
| 96415 |
|
19 |
13 |
$80.11 |
| 96417 |
|
23 |
12 |
$55.37 |
| 96368 |
|
26 |
14 |
$37.84 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
205 |
110 |
$37.43 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
14 |
12 |
$30.11 |
| 83550 |
|
1,167 |
1,148 |
$0.00 |
| 82728 |
|
1,199 |
1,179 |
$0.00 |
| 82746 |
|
518 |
518 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
2,195 |
1,959 |
$0.00 |
| 82784 |
|
514 |
514 |
$0.00 |
| 82607 |
|
580 |
580 |
$0.00 |
| 83010 |
|
467 |
467 |
$0.00 |
| 82378 |
|
99 |
97 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
24 |
24 |
$0.00 |
| 84100 |
|
764 |
757 |
$0.00 |
| 83540 |
|
1,176 |
1,156 |
$0.00 |
| 82232 |
|
518 |
518 |
$0.00 |