| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,667 |
1,136 |
$49K |
| J1568 |
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg |
16 |
12 |
$36K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
692 |
498 |
$10K |
| 99215 |
Prolong outpt/office vis |
121 |
103 |
$7K |
| J1756 |
Injection, iron sucrose, 1 mg |
221 |
106 |
$6K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
63 |
53 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
290 |
219 |
$2K |
| J1720 |
Injection, hydrocortisone sodium succinate, up to 100 mg |
70 |
50 |
$821.92 |
| 36415 |
Collection of venous blood by venipuncture |
201 |
179 |
$810.67 |