| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
4,262 |
2,876 |
$111K |
| 96415 |
|
1,292 |
613 |
$86K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,660 |
804 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
714 |
572 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
431 |
341 |
$23K |
| 99205 |
Prolong outpt/office vis |
281 |
224 |
$9K |
| 96417 |
|
454 |
234 |
$9K |
| Q0084 |
Chemotherapy administration by infusion technique only, per visit |
321 |
162 |
$6K |
| 96367 |
|
74 |
26 |
$4K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
326 |
168 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
145 |
85 |
$37.26 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
26 |
13 |
$18.24 |