| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,421 |
1,130 |
$61K |
| 99233 |
Prolong inpt eval add15 m |
1,224 |
424 |
$37K |
| 99223 |
Prolong inpt eval add15 m |
178 |
167 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
173 |
143 |
$5K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
80 |
40 |
$4K |
| 96367 |
|
23 |
12 |
$589.64 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
23 |
12 |
$323.70 |