| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J9271 |
Injection, pembrolizumab, 1 mg |
692 |
505 |
$5.54M |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
8,039 |
3,895 |
$540K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,549 |
5,717 |
$384K |
| J1454 |
Injection, fosnetupitant 235 mg and palonosetron 0.25 mg |
886 |
494 |
$248K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,475 |
5,134 |
$231K |
| J0897 |
Injection, denosumab, 1 mg |
96 |
74 |
$113K |
| 99215 |
Prolong outpt/office vis |
1,698 |
1,262 |
$112K |
| J1437 |
Injection, ferric derisomaltose, 10 mg |
105 |
73 |
$97K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,892 |
2,586 |
$91K |
| 96417 |
|
2,020 |
1,062 |
$77K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,636 |
990 |
$49K |
| 96367 |
|
2,576 |
1,343 |
$42K |
| J1453 |
Injection, fosaprepitant, 1 mg |
436 |
200 |
$34K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
1,393 |
560 |
$23K |
| 96415 |
|
1,147 |
586 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
232 |
180 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,526 |
956 |
$14K |
| 99205 |
Prolong outpt/office vis |
72 |
66 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
218 |
57 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
131 |
29 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
47 |
38 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
5,381 |
2,349 |
$4K |
| 96411 |
|
89 |
52 |
$3K |
| 96401 |
|
76 |
39 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
26 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
22 |
16 |
$2K |
| J9045 |
Injection, carboplatin, 50 mg |
117 |
64 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,798 |
882 |
$748.37 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
54 |
25 |
$598.31 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
52 |
28 |
$593.03 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
216 |
106 |
$410.49 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
43 |
38 |
$155.03 |
| 36591 |
|
100 |
48 |
$147.60 |