| Code | Description | Claims | Beneficiaries | Total Paid |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
778 |
468 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,247 |
1,212 |
$59K |
| 99215 |
Prolong outpt/office vis |
726 |
630 |
$48K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
170 |
107 |
$4K |
| 96367 |
|
123 |
72 |
$2K |
| 96417 |
|
19 |
13 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
16 |
$784.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
12 |
$336.86 |
| 3078F |
|
78 |
72 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
64 |
64 |
$0.00 |
| 1101F |
|
166 |
157 |
$0.00 |
| 3074F |
|
98 |
88 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
667 |
635 |
$0.00 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
15 |
12 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
40 |
26 |
$0.00 |
| 3079F |
|
27 |
27 |
$0.00 |