| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,501 |
1,228 |
$61K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
485 |
303 |
$27K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
288 |
130 |
$7K |
| 96367 |
|
28 |
12 |
$610.71 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$333.72 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
17 |
12 |
$314.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
12 |
$189.14 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
14 |
$40.13 |