| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
3,166 |
1,564 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,469 |
2,999 |
$62K |
| 96367 |
|
2,049 |
941 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,147 |
1,006 |
$30K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,080 |
7,696 |
$28K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,808 |
2,310 |
$22K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
841 |
551 |
$17K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,033 |
516 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,691 |
1,200 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
59 |
$3K |
| 80053 |
Comprehensive metabolic panel |
4,492 |
3,221 |
$1K |
| J2780 |
Injection, ranitidine hydrochloride, 25 mg |
237 |
130 |
$911.38 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
711 |
300 |
$739.93 |
| 96523 |
|
64 |
64 |
$653.64 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
967 |
517 |
$439.66 |
| 90688 |
|
39 |
38 |
$152.62 |
| 82728 |
|
212 |
194 |
$87.24 |
| 90686 |
|
18 |
16 |
$71.42 |
| 82378 |
|
165 |
148 |
$70.33 |
| 83735 |
|
250 |
106 |
$66.58 |
| 83550 |
|
200 |
183 |
$47.80 |
| 83540 |
|
199 |
182 |
$34.88 |
| J3490 |
Unclassified drugs |
22 |
12 |
$1.14 |
| G0008 |
Administration of influenza virus vaccine |
20 |
19 |
$0.00 |
| 99072 |
|
81 |
61 |
$0.00 |