| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
5,466 |
4,679 |
$530K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,648 |
1,042 |
$283K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,944 |
1,836 |
$90K |
| 80053 |
Comprehensive metabolic panel |
3,571 |
2,731 |
$83K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,851 |
1,819 |
$78K |
| 36591 |
|
1,114 |
777 |
$32K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,209 |
1,072 |
$15K |
| 96402 |
|
252 |
205 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,894 |
2,803 |
$13K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
33 |
25 |
$9K |
| J0185 |
Injection, aprepitant, 1 mg |
74 |
50 |
$8K |
| 96417 |
|
230 |
131 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,822 |
2,362 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,764 |
578 |
$4K |
| 96367 |
|
18 |
12 |
$4K |
| 85027 |
|
275 |
235 |
$4K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
138 |
99 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
57 |
57 |
$2K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
14 |
13 |
$2K |
| 76641 |
|
167 |
167 |
$1K |
| 82728 |
|
123 |
122 |
$719.15 |
| 90686 |
|
12 |
12 |
$228.52 |
| 86300 |
|
13 |
13 |
$82.66 |
| 82565 |
|
96 |
55 |
$30.18 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
322 |
212 |
$11.30 |