| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2323 |
Injection, natalizumab, 1 mg |
395 |
246 |
$899K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,721 |
1,151 |
$141K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,719 |
2,257 |
$121K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,392 |
1,646 |
$74K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,368 |
1,658 |
$33K |
| 96415 |
|
409 |
235 |
$18K |
| J1756 |
Injection, iron sucrose, 1 mg |
230 |
89 |
$8K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
276 |
147 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
575 |
324 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
25 |
$3K |
| 96367 |
|
81 |
70 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,519 |
1,158 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
188 |
90 |
$775.66 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
819 |
554 |
$687.20 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$591.48 |
| 36415 |
Collection of venous blood by venipuncture |
317 |
231 |
$466.17 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
23 |
13 |
$301.50 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
243 |
124 |
$217.71 |