| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,458 |
2,087 |
$77K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
511 |
285 |
$7K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
81 |
26 |
$892.00 |
| A4217 |
Sterile water/saline, 500 ml |
135 |
61 |
$830.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
60 |
27 |
$0.00 |
| 96415 |
|
27 |
15 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
67 |
28 |
$0.00 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
69 |
33 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
38 |
17 |
$0.00 |
| 96367 |
|
66 |
31 |
$0.00 |