| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0084 |
Chemotherapy administration by infusion technique only, per visit |
84 |
39 |
$6K |
| 96415 |
|
37 |
21 |
$3K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
40 |
23 |
$2K |
| 96367 |
|
42 |
23 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21 |
21 |
$404.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
25 |
14 |
$60.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
26 |
13 |
$49.92 |