| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,696 |
1,092 |
$45K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
123 |
50 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
962 |
666 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
49 |
$1K |
| 96367 |
|
45 |
12 |
$288.96 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
19 |
13 |
$172.20 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
43 |
25 |
$15.30 |
| J7050 |
Infusion, normal saline solution, 250 cc |
63 |
37 |
$10.45 |
| 99072 |
|
81 |
41 |
$0.00 |