| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,502 |
3,336 |
$147K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
893 |
351 |
$18K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
395 |
155 |
$10K |
| 96417 |
|
346 |
139 |
$8K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
806 |
319 |
$6K |
| 96415 |
|
395 |
155 |
$5K |
| 96401 |
|
68 |
37 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
202 |
172 |
$523.57 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
421 |
183 |
$138.17 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
14 |
$136.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
358 |
162 |
$103.03 |