| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
284 |
206 |
$8K |
| 96367 |
|
195 |
94 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
178 |
87 |
$4K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
31 |
13 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
92 |
52 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
39 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
171 |
96 |
$1K |
| J9999 |
Not otherwise classified, antineoplastic drugs |
129 |
63 |
$876.42 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
192 |
94 |
$514.90 |
| J7050 |
Infusion, normal saline solution, 250 cc |
119 |
49 |
$512.78 |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
28 |
12 |
$479.38 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
177 |
86 |
$413.50 |