| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
523 |
290 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
186 |
146 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129 |
122 |
$5K |
| 96367 |
|
231 |
121 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
262 |
121 |
$4K |
| 80053 |
Comprehensive metabolic panel |
259 |
198 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
425 |
332 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
57 |
28 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
210 |
129 |
$241.33 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
15 |
$176.58 |
| 83735 |
|
22 |
13 |
$144.32 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
84 |
42 |
$104.14 |