| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0084 |
Chemotherapy administration by infusion technique only, per visit |
295 |
158 |
$29K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
346 |
184 |
$20K |
| 96415 |
|
205 |
106 |
$15K |
| 96367 |
|
309 |
141 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
218 |
201 |
$6K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
477 |
226 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
173 |
86 |
$792.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
141 |
68 |
$41.30 |
| J2780 |
Injection, ranitidine hydrochloride, 25 mg |
29 |
12 |
$30.52 |