| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
365 |
94 |
$17K |
| 96521 |
|
391 |
99 |
$16K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
387 |
99 |
$12K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
386 |
99 |
$6K |
| 96368 |
|
338 |
86 |
$3K |
| 82962 |
|
201 |
56 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
98 |
29 |
$919.31 |
| 93923 |
|
16 |
12 |
$775.38 |