| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
2,373 |
1,818 |
$154K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,342 |
1,219 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,759 |
1,692 |
$87K |
| Q0138 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
241 |
143 |
$77K |
| J2505 |
Injection, pegfilgrastim, 6 mg |
18 |
13 |
$61K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
710 |
384 |
$49K |
| 99205 |
Prolong outpt/office vis |
412 |
411 |
$44K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,962 |
908 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
704 |
689 |
$25K |
| 99223 |
Prolong inpt eval add15 m |
276 |
249 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,055 |
3,802 |
$24K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
845 |
484 |
$23K |
| 96415 |
|
791 |
414 |
$11K |
| 96417 |
|
213 |
125 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,137 |
624 |
$5K |
| 96367 |
|
221 |
131 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,936 |
879 |
$851.55 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,453 |
684 |
$550.38 |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
23 |
12 |
$69.74 |