| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J9312 |
Injection, rituximab, 10 mg |
124 |
124 |
$645K |
| J9310 |
Injection, rituximab, 100 mg |
52 |
51 |
$213K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
336 |
328 |
$19K |
| 96415 |
|
328 |
316 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117 |
115 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
363 |
346 |
$3K |
| J1720 |
Injection, hydrocortisone sodium succinate, up to 100 mg |
326 |
320 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
473 |
461 |
$2K |
| 81003 |
|
572 |
561 |
$276.32 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$258.07 |
| 36415 |
Collection of venous blood by venipuncture |
689 |
664 |
$57.79 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
13 |
13 |
$28.50 |