| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,428 |
705 |
$93K |
| 93880 |
|
28 |
25 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
36 |
16 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
100 |
25 |
$753.62 |
| 93000 |
|
43 |
42 |
$418.23 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
50 |
47 |
$226.88 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
36 |
16 |
$217.80 |
| J3490 |
Unclassified drugs |
35 |
16 |
$16.77 |
| 99072 |
|
43 |
29 |
$0.00 |