| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
15,620 |
11,741 |
$426K |
| 96413 |
|
6,673 |
2,835 |
$223K |
| 99205 |
Prolong outpt/office vis |
2,513 |
1,930 |
$154K |
| 99215 |
Prolong outpt/office vis |
3,285 |
2,413 |
$129K |
| 99213 |
|
6,111 |
4,795 |
$121K |
| 99204 |
|
1,233 |
931 |
$61K |
| J9271 |
Inj pembrolizumab |
44 |
25 |
$50K |
| 99203 |
|
1,119 |
863 |
$46K |
| 96417 |
|
1,735 |
878 |
$41K |
| 99195 |
|
1,044 |
614 |
$25K |
| 96401 |
|
728 |
479 |
$15K |
| 96416 |
|
472 |
115 |
$14K |
| 96411 |
|
662 |
286 |
$14K |
| 96367 |
|
3,928 |
1,973 |
$10K |
| 96415 |
|
960 |
408 |
$9K |
| 96365 |
|
3,014 |
1,671 |
$8K |
| J2469 |
Palonosetron hcl |
1,472 |
557 |
$7K |
| 96375 |
|
3,110 |
1,613 |
$5K |
| 96372 |
|
2,051 |
1,125 |
$5K |
| J1642 |
Inj heparin sodium per 10 u |
4,126 |
1,628 |
$5K |
| 96402 |
|
425 |
310 |
$4K |
| J1453 |
Fosaprepitant injection |
111 |
57 |
$2K |
| J2916 |
Na ferric gluconate complex |
516 |
253 |
$2K |
| J9190 |
Fluorouracil injection |
642 |
83 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
3,419 |
1,725 |
$872.45 |
| J1100 |
Dexamethasone sodium phos |
2,071 |
915 |
$851.33 |
| 36591 |
|
459 |
219 |
$846.29 |
| 99223 |
Prolong inpt eval add15 m |
17 |
14 |
$824.33 |
| 99212 |
|
46 |
40 |
$668.38 |
| J3490 |
Drugs unclassified injection |
1,323 |
693 |
$663.33 |
| J3489 |
Zoledronic acid 1mg |
16 |
13 |
$199.45 |
| J7030 |
Normal saline solution infus |
109 |
53 |
$186.82 |
| 96377 |
|
72 |
37 |
$177.64 |
| J2920 |
Methylprednisolone injection |
332 |
245 |
$160.86 |
| J2405 |
Ondansetron hcl injection |
227 |
92 |
$90.61 |
| 96368 |
|
260 |
130 |
$48.70 |
| J2780 |
Ranitidine hydrochloride inj |
27 |
15 |
$47.91 |
| 96374 |
|
75 |
40 |
$7.22 |
| Q0138 |
Ferumoxytol, non-esrd |
366 |
234 |
$0.92 |
| S0028 |
Injection, famotidine, 20 mg |
57 |
45 |
$0.00 |
| 96523 |
|
38 |
14 |
$0.00 |