| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
715 |
517 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
188 |
143 |
$9K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
266 |
193 |
$4K |
| 99215 |
Prolong outpt/office vis |
16 |
13 |
$999.41 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
24 |
13 |
$251.80 |
| 96367 |
|
14 |
12 |
$195.94 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
86 |
57 |
$107.97 |