| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,018 |
2,662 |
$125K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
697 |
296 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
806 |
669 |
$21K |
| 96367 |
|
637 |
288 |
$19K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,469 |
594 |
$14K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
871 |
344 |
$8K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
237 |
109 |
$6K |
| 99215 |
Prolong outpt/office vis |
71 |
67 |
$4K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
207 |
84 |
$4K |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
732 |
309 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
178 |
75 |
$3K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
192 |
132 |
$1K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,305 |
530 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
596 |
310 |
$865.89 |
| 96415 |
|
27 |
12 |
$580.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
24 |
13 |
$39.59 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
65 |
37 |
$31.49 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
26 |
12 |
$13.79 |