| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J9271 |
Injection, pembrolizumab, 1 mg |
103 |
77 |
$346K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,576 |
5,150 |
$214K |
| 80053 |
Comprehensive metabolic panel |
11,134 |
9,391 |
$106K |
| 99215 |
Prolong outpt/office vis |
1,726 |
1,302 |
$100K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
847 |
569 |
$71K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,956 |
10,065 |
$58K |
| J1750 |
Injection, iron dextran, 50 mg |
500 |
494 |
$38K |
| 82728 |
|
3,364 |
3,258 |
$34K |
| 83540 |
|
3,444 |
3,329 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
947 |
932 |
$24K |
| 83550 |
|
3,432 |
3,318 |
$15K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
271 |
202 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
481 |
387 |
$8K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
427 |
297 |
$6K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
905 |
525 |
$4K |
| 86300 |
|
181 |
155 |
$3K |
| J1720 |
Injection, hydrocortisone sodium succinate, up to 100 mg |
450 |
439 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,488 |
797 |
$443.72 |
| 96367 |
|
24 |
14 |
$379.72 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,143 |
847 |
$206.80 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
369 |
297 |
$149.27 |
| 85046 |
|
13 |
12 |
$78.81 |
| 36415 |
Collection of venous blood by venipuncture |
107 |
93 |
$0.00 |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
74 |
37 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
668 |
363 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
15 |
15 |
$0.00 |