| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,570 |
1,082 |
$97K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
438 |
203 |
$25K |
| 96367 |
|
115 |
44 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
14 |
$896.42 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
173 |
65 |
$155.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
100 |
40 |
$31.53 |