| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,963 |
1,555 |
$281K |
| Q0084 |
Chemotherapy administration by infusion technique only, per visit |
1,820 |
725 |
$169K |
| 99233 |
Prolong inpt eval add15 m |
1,613 |
397 |
$150K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,096 |
459 |
$124K |
| 99223 |
Prolong inpt eval add15 m |
680 |
486 |
$108K |
| 96367 |
|
879 |
363 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
203 |
175 |
$25K |
| 96415 |
|
333 |
141 |
$23K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
405 |
147 |
$22K |
| 96417 |
|
204 |
102 |
$15K |
| 96411 |
|
28 |
12 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
86 |
38 |
$96.24 |