| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,741 |
1,055 |
$88K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,195 |
6,434 |
$47K |
| 96367 |
|
2,304 |
1,438 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
541 |
495 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
899 |
741 |
$10K |
| 99215 |
Prolong outpt/office vis |
136 |
120 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
3,544 |
2,905 |
$3K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
25 |
12 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,063 |
1,311 |
$822.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
92 |
60 |
$778.48 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
835 |
501 |
$410.39 |
| J2780 |
Injection, ranitidine hydrochloride, 25 mg |
75 |
37 |
$363.80 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
40 |
26 |
$229.38 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
20 |
14 |
$7.60 |