| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,906 |
1,743 |
$82K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,831 |
764 |
$69K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
779 |
271 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
746 |
672 |
$15K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
108 |
37 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
130 |
119 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
447 |
158 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
62 |
37 |
$480.69 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
64 |
45 |
$361.62 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
19 |
17 |
$198.45 |
| 83550 |
|
13 |
12 |
$111.28 |
| 82728 |
|
13 |
12 |
$93.08 |
| 83540 |
|
13 |
12 |
$82.94 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$0.00 |