| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,950 |
1,361 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
876 |
754 |
$19K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
356 |
143 |
$13K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
427 |
187 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
103 |
59 |
$1K |
| J1756 |
Injection, iron sucrose, 1 mg |
32 |
17 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
35 |
27 |
$954.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
164 |
93 |
$351.28 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
159 |
79 |
$106.60 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
118 |
52 |
$74.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
43 |
26 |
$12.20 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
14 |
$1.29 |
| 36591 |
|
17 |
12 |
$0.00 |