| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
1,959 |
1,316 |
$46K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
360 |
216 |
$42K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,233 |
774 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,117 |
1,388 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
635 |
373 |
$14K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
342 |
123 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
63 |
62 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
1,514 |
1,120 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
74 |
71 |
$6K |
| 36591 |
|
334 |
201 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
208 |
199 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
184 |
117 |
$83.26 |
| 83615 |
|
44 |
37 |
$44.29 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
20 |
13 |
$33.00 |