| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0084 |
Chemotherapy administration by infusion technique only, per visit |
343 |
133 |
$34K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
296 |
121 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
678 |
574 |
$14K |
| 96415 |
|
128 |
54 |
$11K |
| 96417 |
|
65 |
28 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$951.50 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
74 |
29 |
$93.00 |