| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,981 |
1,669 |
$116K |
| 99215 |
Prolong outpt/office vis |
1,031 |
810 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
158 |
153 |
$8K |
| 99205 |
Prolong outpt/office vis |
40 |
40 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
89 |
42 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
13 |
12 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
375 |
317 |
$613.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
29 |
13 |
$13.43 |