| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,972 |
5,117 |
$366K |
| Q0084 |
Chemotherapy administration by infusion technique only, per visit |
3,617 |
1,589 |
$264K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,502 |
771 |
$125K |
| 96367 |
|
2,308 |
937 |
$88K |
| 96415 |
|
363 |
206 |
$24K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
700 |
343 |
$15K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
226 |
84 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
196 |
191 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
139 |
128 |
$10K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
778 |
390 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,045 |
453 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,420 |
667 |
$1K |