| Code | Description | Claims | Beneficiaries | Total Paid |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
922 |
353 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
387 |
358 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
388 |
355 |
$10K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
288 |
89 |
$5K |
| 96417 |
|
275 |
110 |
$5K |
| 96415 |
|
295 |
81 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
152 |
144 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
694 |
319 |
$3K |
| 96411 |
|
76 |
25 |
$3K |
| 85027 |
|
679 |
312 |
$2K |
| 80076 |
|
693 |
318 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$710.73 |
| 83615 |
|
688 |
318 |
$689.20 |
| J9045 |
Injection, carboplatin, 50 mg |
20 |
12 |
$629.51 |
| 82533 |
|
75 |
40 |
$496.54 |
| 84702 |
|
47 |
13 |
$460.72 |
| 84443 |
Thyroid stimulating hormone (TSH) |
53 |
27 |
$435.13 |
| 84439 |
|
53 |
27 |
$376.55 |
| 83735 |
|
39 |
16 |
$121.36 |
| 85009 |
|
43 |
26 |
$73.50 |