| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,319 |
2,136 |
$135K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,827 |
1,211 |
$126K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,021 |
960 |
$49K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,282 |
3,221 |
$29K |
| 99205 |
Prolong outpt/office vis |
174 |
157 |
$23K |
| 96367 |
|
970 |
668 |
$21K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,088 |
707 |
$17K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
433 |
290 |
$15K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
107 |
100 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
93 |
85 |
$13K |
| 96417 |
|
113 |
79 |
$5K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
369 |
252 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
142 |
136 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
914 |
607 |
$773.81 |
| 96415 |
|
16 |
12 |
$640.74 |
| J1453 |
Injection, fosaprepitant, 1 mg |
36 |
25 |
$435.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
25 |
$297.40 |
| J1756 |
Injection, iron sucrose, 1 mg |
15 |
12 |
$295.04 |
| 36415 |
Collection of venous blood by venipuncture |
980 |
756 |
$236.85 |