| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,445 |
13,379 |
$795K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,850 |
1,808 |
$212K |
| 99215 |
Prolong outpt/office vis |
1,720 |
1,483 |
$176K |
| G6015 |
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session |
675 |
78 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,169 |
2,033 |
$94K |
| 77014 |
|
954 |
118 |
$65K |
| 96367 |
|
1,082 |
642 |
$38K |
| 80053 |
Comprehensive metabolic panel |
3,737 |
2,493 |
$35K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,337 |
2,833 |
$32K |
| 77427 |
|
226 |
100 |
$24K |
| 83735 |
|
3,523 |
2,327 |
$21K |
| 83615 |
|
3,570 |
2,367 |
$19K |
| 77336 |
|
421 |
215 |
$18K |
| 84100 |
|
3,524 |
2,327 |
$15K |
| 84550 |
|
3,503 |
2,313 |
$14K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
187 |
110 |
$7K |
| 77334 |
|
32 |
27 |
$3K |
| 96417 |
|
66 |
49 |
$3K |
| 97802 |
|
26 |
26 |
$2K |
| 77300 |
|
27 |
26 |
$2K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$2K |
| 77263 |
|
14 |
14 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
104 |
64 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,022 |
556 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$969.66 |
| 96415 |
|
20 |
12 |
$465.80 |
| 36415 |
Collection of venous blood by venipuncture |
96 |
84 |
$150.95 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
12 |
12 |
$111.05 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
14 |
12 |
$9.92 |