| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,528 |
2,104 |
$235K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
785 |
334 |
$38K |
| Q5111 |
Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg |
15 |
14 |
$31K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,051 |
584 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
465 |
344 |
$18K |
| E0791 |
Parenteral infusion pump, stationary, single or multi-channel |
50 |
24 |
$6K |
| 96367 |
|
174 |
103 |
$6K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,319 |
503 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
510 |
372 |
$5K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
400 |
219 |
$2K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
169 |
67 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
36 |
14 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
255 |
161 |
$959.98 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
118 |
61 |
$515.84 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
19 |
12 |
$415.95 |