| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
3,379 |
1,450 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,165 |
2,823 |
$109K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,827 |
1,517 |
$78K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,152 |
2,190 |
$40K |
| 96367 |
|
3,706 |
1,527 |
$39K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
4,368 |
1,852 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,041 |
977 |
$26K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,182 |
623 |
$16K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,603 |
1,470 |
$12K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
3,819 |
1,546 |
$11K |
| J1750 |
Injection, iron dextran, 50 mg |
603 |
249 |
$11K |
| 96415 |
|
289 |
145 |
$5K |
| J7050 |
Infusion, normal saline solution, 250 cc |
5,225 |
2,278 |
$4K |
| J3489 |
Injection, zoledronic acid, 1 mg |
301 |
223 |
$3K |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
1,988 |
773 |
$1K |
| 96417 |
|
28 |
13 |
$435.28 |
| S0028 |
Injection, famotidine, 20 mg |
682 |
310 |
$361.11 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
32 |
12 |
$120.38 |
| J9267 |
Injection, paclitaxel, 1 mg |
23 |
12 |
$119.00 |
| J9299 |
Injection, nivolumab, 1 mg |
31 |
12 |
$0.00 |