| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,244 |
4,496 |
$214K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
996 |
451 |
$71K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
46 |
39 |
$52K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
104 |
41 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,738 |
1,315 |
$40K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,941 |
4,178 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,380 |
445 |
$31K |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
168 |
61 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
3,112 |
1,680 |
$12K |
| 96367 |
|
349 |
169 |
$12K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
277 |
140 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
388 |
210 |
$7K |
| 99215 |
Prolong outpt/office vis |
152 |
116 |
$6K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
226 |
97 |
$5K |
| 96415 |
|
48 |
25 |
$2K |
| 96523 |
|
423 |
279 |
$1K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
681 |
381 |
$434.65 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
193 |
100 |
$328.82 |
| G9678 |
Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation agreement |
160 |
146 |
$0.00 |