| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,053 |
2,847 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,198 |
1,050 |
$33K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
211 |
87 |
$20K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
345 |
125 |
$17K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
485 |
157 |
$6K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
199 |
186 |
$607.38 |
| 96523 |
|
61 |
53 |
$580.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
444 |
155 |
$264.18 |