| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,029 |
2,461 |
$110K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
620 |
408 |
$25K |
| 99233 |
Prolong inpt eval add15 m |
496 |
101 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
281 |
261 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
109 |
106 |
$6K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
244 |
153 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
326 |
214 |
$4K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
471 |
305 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
79 |
51 |
$1K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
134 |
85 |
$35.26 |