| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,204 |
571 |
$49K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,737 |
1,137 |
$39K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
421 |
155 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
328 |
314 |
$14K |
| 96367 |
|
331 |
136 |
$8K |
| 99215 |
Prolong outpt/office vis |
168 |
158 |
$7K |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,394 |
1,027 |
$4K |
| 99205 |
Prolong outpt/office vis |
31 |
31 |
$3K |
| 96368 |
|
139 |
58 |
$2K |
| 96417 |
|
43 |
26 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$946.68 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
29 |
$906.47 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
399 |
198 |
$617.39 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
99 |
39 |
$195.41 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
103 |
42 |
$159.48 |