| Code | Description | Claims | Beneficiaries | Total Paid |
| J2323 |
Injection, natalizumab, 1 mg |
1,206 |
1,046 |
$3.81M |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
992 |
897 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
391 |
370 |
$21K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
94 |
92 |
$34.11 |