| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,077 |
903 |
$71K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
646 |
477 |
$61K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,716 |
1,997 |
$19K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
195 |
153 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72 |
63 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
42 |
27 |
$1K |
| 96367 |
|
33 |
25 |
$830.88 |
| 36415 |
Collection of venous blood by venipuncture |
806 |
582 |
$144.76 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
17 |
12 |
$89.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
49 |
39 |
$44.81 |