| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,259 |
1,666 |
$171K |
| 99215 |
Prolong outpt/office vis |
1,436 |
821 |
$142K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
408 |
230 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
312 |
260 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,659 |
1,669 |
$11K |
| 96367 |
|
145 |
78 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,669 |
1,734 |
$4K |
| 80053 |
Comprehensive metabolic panel |
233 |
140 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$752.67 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
105 |
52 |
$612.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
23 |
12 |
$68.96 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
64 |
37 |
$56.34 |