| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,629 |
12,219 |
$1.11M |
| 99205 |
Prolong outpt/office vis |
172 |
172 |
$29K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,787 |
1,714 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$3K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
14 |
12 |
$485.25 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
26 |
26 |
$168.90 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
14 |
12 |
$147.66 |
| 96415 |
|
14 |
12 |
$102.98 |