| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,723 |
1,843 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,068 |
1,432 |
$44K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
307 |
181 |
$21K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
27 |
12 |
$771.94 |
| 96367 |
|
54 |
24 |
$597.23 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
27 |
12 |
$180.11 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
29 |
13 |
$14.42 |