| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
538 |
521 |
$26K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
18 |
16 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
27 |
$689.14 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16 |
15 |
$234.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
16 |
15 |
$8.64 |
| J7050 |
Infusion, normal saline solution, 250 cc |
17 |
16 |
$5.99 |