| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,063 |
2,979 |
$65K |
| 99215 |
Prolong outpt/office vis |
347 |
347 |
$9K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
332 |
300 |
$6K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
303 |
281 |
$3K |
| 20610 |
|
287 |
225 |
$570.50 |
| 99443 |
|
13 |
13 |
$156.84 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
13 |
$2.04 |