| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,171 |
3,863 |
$233K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
3,651 |
1,794 |
$202K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,582 |
1,019 |
$171K |
| 99215 |
Prolong outpt/office vis |
1,999 |
1,812 |
$162K |
| J2505 |
Injection, pegfilgrastim, 6 mg |
20 |
13 |
$83K |
| 99233 |
Prolong inpt eval add15 m |
1,326 |
962 |
$69K |
| 96367 |
|
2,278 |
1,117 |
$59K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
1,562 |
761 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,182 |
1,119 |
$43K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,089 |
4,453 |
$36K |
| Q0138 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
141 |
96 |
$28K |
| 96417 |
|
761 |
500 |
$27K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,590 |
764 |
$19K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
459 |
311 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
137 |
137 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
3,891 |
2,969 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
825 |
630 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,637 |
1,242 |
$3K |
| 96523 |
|
118 |
88 |
$752.69 |
| 36591 |
|
78 |
55 |
$677.79 |
| 96377 |
|
18 |
12 |
$173.50 |
| 96415 |
|
16 |
12 |
$142.64 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
206 |
115 |
$133.71 |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
23 |
13 |
$46.75 |