| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2323 |
Injection, natalizumab, 1 mg |
309 |
296 |
$177K |
| 99215 |
Prolong outpt/office vis |
1,216 |
1,206 |
$33K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,272 |
1,211 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
374 |
372 |
$11K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,260 |
669 |
$6K |
| 96132 |
|
327 |
324 |
$4K |
| 96138 |
|
416 |
413 |
$3K |
| 96139 |
|
366 |
366 |
$3K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
276 |
115 |
$1K |
| 96119 |
|
31 |
31 |
$254.73 |
| 96004 |
|
40 |
40 |
$137.19 |
| 99233 |
Prolong inpt eval add15 m |
18 |
12 |
$111.84 |
| 96001 |
|
40 |
40 |
$78.82 |
| 99072 |
|
161 |
110 |
$0.00 |