| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,839 |
2,450 |
$166K |
| 96415 |
|
1,988 |
665 |
$147K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,454 |
873 |
$141K |
| Q0084 |
Chemotherapy administration by infusion technique only, per visit |
1,828 |
673 |
$108K |
| 96367 |
|
306 |
72 |
$17K |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
1,458 |
533 |
$8K |
| 99221 |
|
80 |
69 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
38 |
27 |
$4K |
| J9190 |
Injection, fluorouracil, 500 mg |
37 |
12 |
$697.64 |
| 96401 |
|
16 |
12 |
$491.36 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
108 |
25 |
$86.24 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
38 |
12 |
$44.10 |