| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,690 |
5,111 |
$554K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
3,496 |
1,998 |
$336K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,190 |
3,105 |
$221K |
| 96549 |
|
818 |
500 |
$108K |
| 96367 |
|
1,695 |
953 |
$71K |
| J1453 |
Injection, fosaprepitant, 1 mg |
284 |
172 |
$65K |
| 99215 |
Prolong outpt/office vis |
502 |
424 |
$53K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
903 |
522 |
$52K |
| 36410 |
|
2,130 |
1,393 |
$40K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,528 |
787 |
$31K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,071 |
4,584 |
$28K |
| 99205 |
Prolong outpt/office vis |
109 |
109 |
$20K |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
191 |
110 |
$16K |
| J7050 |
Infusion, normal saline solution, 250 cc |
4,014 |
2,418 |
$15K |
| 96368 |
|
905 |
535 |
$14K |
| 99070 |
|
2,019 |
1,314 |
$10K |
| J0185 |
Injection, aprepitant, 1 mg |
59 |
39 |
$10K |
| 96417 |
|
167 |
100 |
$9K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,192 |
655 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
61 |
52 |
$3K |
| 99245 |
|
13 |
13 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
25 |
13 |
$1K |
| 96415 |
|
48 |
38 |
$996.93 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
273 |
159 |
$865.28 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
177 |
104 |
$861.72 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$350.22 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
45 |
26 |
$134.02 |
| J1644 |
Injection, heparin sodium, per 1000 units |
27 |
13 |
$132.55 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
139 |
87 |
$117.80 |