| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,023 |
1,865 |
$118K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,773 |
1,149 |
$115K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,070 |
2,821 |
$28K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
889 |
530 |
$14K |
| 96367 |
|
511 |
316 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
82 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
283 |
174 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
125 |
124 |
$5K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
440 |
255 |
$2K |
| J1453 |
Injection, fosaprepitant, 1 mg |
93 |
54 |
$1K |
| 96415 |
|
35 |
26 |
$656.67 |
| J0640 |
Injection, leucovorin calcium, per 50 mg |
23 |
12 |
$623.57 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
554 |
323 |
$526.19 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
75 |
49 |
$485.08 |
| 36415 |
Collection of venous blood by venipuncture |
1,532 |
1,092 |
$470.71 |
| J9190 |
Injection, fluorouracil, 500 mg |
19 |
12 |
$227.60 |