| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,747 |
1,088 |
$159K |
| J3490 |
Unclassified drugs |
3,301 |
1,067 |
$112K |
| 96367 |
|
2,526 |
984 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
695 |
545 |
$34K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,704 |
1,106 |
$15K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
623 |
206 |
$15K |
| 96417 |
|
416 |
167 |
$14K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
2,273 |
937 |
$5K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
3,116 |
1,047 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
356 |
141 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
919 |
298 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
23 |
12 |
$561.21 |
| 96368 |
|
27 |
13 |
$263.14 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
129 |
37 |
$192.01 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
98 |
38 |
$76.06 |
| 36415 |
Collection of venous blood by venipuncture |
35 |
24 |
$63.40 |