| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
312 |
257 |
$26K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
185 |
139 |
$16K |
| J1453 |
Injection, fosaprepitant, 1 mg |
31 |
27 |
$5K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
16 |
12 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
44 |
$3K |
| 0012A |
|
58 |
43 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
72 |
47 |
$2K |
| 0011A |
|
48 |
43 |
$2K |
| 96367 |
|
34 |
29 |
$840.82 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
18 |
13 |
$209.60 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
42 |
31 |
$70.47 |
| J3490 |
Unclassified drugs |
44 |
32 |
$49.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
40 |
30 |
$18.97 |
| J2060 |
Injection, lorazepam, 2 mg |
14 |
12 |
$1.84 |