| Code | Description | Claims | Beneficiaries | Total Paid |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
2,344 |
1,461 |
$2.73M |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
13,546 |
7,172 |
$1.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,147 |
21,339 |
$1.04M |
| J0897 |
Injection, denosumab, 1 mg |
221 |
204 |
$532K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
1,451 |
1,427 |
$467K |
| Q0138 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
124 |
78 |
$446K |
| 96367 |
|
8,309 |
4,557 |
$379K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
2,300 |
1,220 |
$370K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
7,480 |
3,899 |
$184K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
6,526 |
3,757 |
$178K |
| 99215 |
Prolong outpt/office vis |
2,490 |
2,331 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,436 |
5,205 |
$144K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,437 |
2,704 |
$67K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
841 |
558 |
$64K |
| 99205 |
Prolong outpt/office vis |
596 |
595 |
$60K |
| 96415 |
|
1,936 |
1,262 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
506 |
494 |
$45K |
| 99233 |
Prolong inpt eval add15 m |
683 |
359 |
$32K |
| 96523 |
|
973 |
836 |
$22K |
| 96417 |
|
656 |
397 |
$19K |
| 99245 |
|
136 |
135 |
$19K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,857 |
1,747 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
159 |
157 |
$11K |
| 96368 |
|
535 |
296 |
$9K |
| J0640 |
Injection, leucovorin calcium, per 50 mg |
84 |
53 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
149 |
61 |
$6K |
| J9190 |
Injection, fluorouracil, 500 mg |
80 |
52 |
$4K |
| 96401 |
|
15 |
12 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
42 |
25 |
$738.18 |
| 96411 |
|
39 |
24 |
$688.42 |
| J7050 |
Infusion, normal saline solution, 250 cc |
38 |
25 |
$295.83 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
22 |
12 |
$145.78 |