| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
745 |
697 |
$73K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
248 |
174 |
$14K |
| 96367 |
|
221 |
124 |
$10K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
152 |
101 |
$5K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
29 |
13 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
423 |
248 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
301 |
181 |
$1K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
44 |
27 |
$956.39 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
187 |
108 |
$693.60 |
| J1750 |
Injection, iron dextran, 50 mg |
22 |
15 |
$413.88 |