| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,948 |
1,577 |
$98K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
173 |
92 |
$13K |
| 99459 |
|
245 |
229 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44 |
37 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
306 |
160 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
260 |
133 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 96367 |
|
53 |
25 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
817 |
502 |
$663.61 |
| 96415 |
|
26 |
12 |
$564.28 |
| J1453 |
Injection, fosaprepitant, 1 mg |
21 |
12 |
$510.66 |
| 83735 |
|
173 |
82 |
$396.90 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
36 |
13 |
$388.47 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
31 |
12 |
$236.80 |
| J7050 |
Infusion, normal saline solution, 250 cc |
173 |
92 |
$224.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
54 |
25 |
$82.49 |
| 83615 |
|
40 |
25 |
$32.13 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
34 |
13 |
$17.89 |