| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,434 |
6,933 |
$399K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
563 |
539 |
$18K |
| 99205 |
Prolong outpt/office vis |
133 |
124 |
$15K |
| J1602 |
Injection, golimumab, 1 mg, for intravenous use |
13 |
12 |
$12K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
174 |
158 |
$7K |
| 20610 |
|
225 |
215 |
$6K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
353 |
336 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
25 |
24 |
$13.38 |