| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,551 |
1,408 |
$79K |
| 99245 |
|
114 |
114 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,242 |
1,766 |
$10K |
| 96367 |
|
81 |
42 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
217 |
120 |
$1K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
25 |
13 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80 |
78 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,228 |
1,746 |
$771.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
53 |
25 |
$110.77 |