| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1437 |
Injection, ferric derisomaltose, 10 mg |
174 |
174 |
$330K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,060 |
2,572 |
$227K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,054 |
3,632 |
$189K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,060 |
747 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
421 |
421 |
$36K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
330 |
199 |
$31K |
| J1750 |
Injection, iron dextran, 50 mg |
95 |
95 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
177 |
177 |
$21K |
| J1756 |
Injection, iron sucrose, 1 mg |
450 |
246 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,387 |
1,028 |
$8K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
173 |
147 |
$4K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
158 |
144 |
$4K |
| 99195 |
|
14 |
12 |
$927.26 |
| J7050 |
Infusion, normal saline solution, 250 cc |
395 |
253 |
$205.61 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
215 |
177 |
$201.09 |