| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
5,531 |
4,526 |
$532K |
| 96367 |
|
3,671 |
1,457 |
$144K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,016 |
494 |
$72K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,278 |
536 |
$61K |
| 99205 |
Prolong outpt/office vis |
351 |
348 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
499 |
485 |
$38K |
| J1750 |
Injection, iron dextran, 50 mg |
227 |
84 |
$24K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,132 |
458 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,103 |
822 |
$14K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,154 |
457 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
113 |
49 |
$1K |
| S0028 |
Injection, famotidine, 20 mg |
346 |
140 |
$965.34 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,224 |
865 |
$912.42 |
| J1720 |
Injection, hydrocortisone sodium succinate, up to 100 mg |
72 |
26 |
$850.57 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
256 |
168 |
$443.59 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
26 |
$201.45 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
101 |
49 |
$174.49 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
131 |
78 |
$85.68 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
26 |
$83.89 |