| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,174 |
2,062 |
$133K |
| J1453 |
Injection, fosaprepitant, 1 mg |
93 |
46 |
$25K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
550 |
331 |
$23K |
| J0897 |
Injection, denosumab, 1 mg |
13 |
13 |
$18K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
162 |
66 |
$10K |
| 96367 |
|
153 |
82 |
$9K |
| J9202 |
Goserelin acetate implant, per 3.6 mg |
12 |
12 |
$7K |
| 96415 |
|
218 |
118 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
59 |
$6K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
153 |
70 |
$5K |
| 96417 |
|
81 |
52 |
$4K |
| 96402 |
|
100 |
97 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
125 |
57 |
$3K |
| 85027 |
|
774 |
602 |
$2K |
| 96368 |
|
72 |
39 |
$1K |
| 99000 |
|
122 |
120 |
$441.78 |
| 96401 |
|
15 |
13 |
$414.71 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
120 |
105 |
$348.11 |