| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q5104 |
Injection, infliximab-abda, biosimilar, (renflexis), 10 mg |
72 |
66 |
$184K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,520 |
1,374 |
$107K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
344 |
312 |
$36K |
| 96415 |
|
343 |
312 |
$8K |
| 80053 |
Comprehensive metabolic panel |
1,197 |
1,067 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,174 |
1,057 |
$5K |
| 86140 |
|
1,350 |
1,212 |
$4K |
| 85652 |
|
1,353 |
1,214 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,317 |
1,167 |
$2K |