| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J9271 |
Injection, pembrolizumab, 1 mg |
33 |
27 |
$233K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,927 |
2,614 |
$181K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
3,701 |
2,053 |
$168K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,265 |
3,092 |
$133K |
| 96367 |
|
2,621 |
1,337 |
$65K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,262 |
4,765 |
$36K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
977 |
558 |
$27K |
| 99215 |
Prolong outpt/office vis |
273 |
238 |
$23K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,119 |
1,058 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
367 |
363 |
$11K |
| 96417 |
|
385 |
242 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
108 |
99 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
121 |
121 |
$11K |
| 85027 |
|
1,373 |
986 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,750 |
1,870 |
$5K |
| 99205 |
Prolong outpt/office vis |
42 |
41 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
646 |
454 |
$4K |
| 99406 |
|
291 |
245 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
40 |
14 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,880 |
913 |
$2K |
| 99442 |
|
37 |
36 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
27 |
16 |
$918.73 |
| J3490 |
Unclassified drugs |
1,312 |
667 |
$716.24 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
21 |
13 |
$285.67 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
313 |
152 |
$116.44 |