| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
180 |
108 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171 |
151 |
$5K |
| 96367 |
|
44 |
25 |
$730.98 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
46 |
25 |
$467.17 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
22 |
13 |
$404.18 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
45 |
26 |
$36.31 |