| Code | Description | Claims | Beneficiaries | Total Paid |
| 96367 |
|
252 |
122 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,397 |
854 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
191 |
147 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
434 |
179 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
69 |
39 |
$4K |
| J7050 |
Infusion, normal saline solution, 250 cc |
508 |
211 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
37 |
$3K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
48 |
27 |
$564.29 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$255.75 |
| 99443 |
|
19 |
17 |
$77.40 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
20 |
12 |
$0.00 |
| 96415 |
|
44 |
25 |
$0.00 |