| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
902 |
616 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,157 |
840 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
505 |
328 |
$4K |
| 99426 |
|
217 |
159 |
$542.78 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
32 |
24 |
$123.04 |
| 76881 |
|
216 |
63 |
$122.92 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
20 |
17 |
$0.00 |
| 76942 |
|
17 |
12 |
$0.00 |