| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,217 |
719 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
297 |
260 |
$12K |
| 99215 |
Prolong outpt/office vis |
269 |
220 |
$8K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
182 |
93 |
$4K |
| 96417 |
|
73 |
38 |
$3K |
| 96367 |
|
82 |
51 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
20 |
12 |
$697.83 |
| J1453 |
Injection, fosaprepitant, 1 mg |
18 |
12 |
$330.09 |
| 96402 |
|
16 |
13 |
$244.79 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
202 |
92 |
$218.97 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
23 |
15 |
$208.32 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
57 |
26 |
$53.21 |
| S0028 |
Injection, famotidine, 20 mg |
60 |
26 |
$34.75 |