| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,359 |
3,043 |
$147K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,755 |
705 |
$68K |
| 96367 |
|
682 |
229 |
$23K |
| 80053 |
Comprehensive metabolic panel |
2,252 |
1,542 |
$23K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
971 |
370 |
$20K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
135 |
39 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
368 |
338 |
$10K |
| J1453 |
Injection, fosaprepitant, 1 mg |
33 |
13 |
$10K |
| 85027 |
|
1,516 |
1,029 |
$9K |
| 85007 |
|
1,529 |
1,037 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
520 |
428 |
$3K |
| 96417 |
|
65 |
24 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,109 |
396 |
$801.51 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
541 |
193 |
$473.10 |
| 83550 |
|
14 |
13 |
$119.84 |
| 82728 |
|
14 |
13 |
$100.24 |
| 83540 |
|
14 |
13 |
$89.32 |
| 83615 |
|
19 |
14 |
$88.80 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
12 |
$0.00 |