| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0084 |
Chemotherapy administration by infusion technique only, per visit |
291 |
107 |
$24K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
213 |
91 |
$14K |
| 96415 |
|
127 |
65 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
153 |
133 |
$5K |
| 96367 |
|
149 |
56 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
222 |
88 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
216 |
81 |
$275.50 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
64 |
24 |
$141.78 |