| Code | Description | Claims | Beneficiaries | Total Paid |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,122 |
798 |
$946.73 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,121 |
797 |
$585.53 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
604 |
468 |
$191.22 |
| 99354 |
|
436 |
282 |
$15.40 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
538 |
346 |
$11.05 |
| 94690 |
|
15 |
14 |
$0.00 |
| 82962 |
|
949 |
674 |
$0.00 |
| 96521 |
|
608 |
469 |
$0.00 |