| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,114 |
5,825 |
$328K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
4,680 |
2,493 |
$269K |
| Q5111 |
Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg |
80 |
70 |
$249K |
| Q0138 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
860 |
567 |
$187K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,720 |
3,697 |
$151K |
| 99215 |
Prolong outpt/office vis |
1,825 |
1,541 |
$137K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,510 |
1,508 |
$129K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,308 |
1,247 |
$89K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,365 |
11,700 |
$78K |
| 96367 |
|
3,445 |
1,734 |
$73K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
1,915 |
1,136 |
$52K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,237 |
429 |
$45K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,357 |
911 |
$36K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,565 |
1,721 |
$31K |
| 96417 |
|
575 |
375 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,176 |
2,129 |
$18K |
| J1453 |
Injection, fosaprepitant, 1 mg |
378 |
257 |
$10K |
| 96415 |
|
317 |
161 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,233 |
1,622 |
$3K |
| 99442 |
|
138 |
131 |
$3K |
| 99195 |
|
54 |
50 |
$3K |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
356 |
172 |
$780.59 |
| 99441 |
|
14 |
14 |
$395.40 |
| J9045 |
Injection, carboplatin, 50 mg |
15 |
12 |
$372.79 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
135 |
120 |
$129.93 |
| J3490 |
Unclassified drugs |
40 |
28 |
$29.41 |