| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
181 |
167 |
$18K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
132 |
51 |
$14K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
260 |
101 |
$8K |
| 96367 |
|
143 |
50 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
144 |
50 |
$311.92 |
| J7050 |
Infusion, normal saline solution, 250 cc |
264 |
102 |
$279.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
163 |
65 |
$112.08 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
106 |
37 |
$94.83 |
| S0028 |
Injection, famotidine, 20 mg |
186 |
68 |
$94.34 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
125 |
52 |
$73.89 |