| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,763 |
1,291 |
$33K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
644 |
347 |
$9K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
177 |
107 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
12 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
231 |
106 |
$1K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
20 |
12 |
$553.29 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
30 |
13 |
$69.76 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34 |
27 |
$48.72 |