| Code | Description | Claims | Beneficiaries | Total Paid |
| 99221 |
|
219 |
165 |
$17K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
153 |
126 |
$9K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
126 |
99 |
$3K |
| 99234 |
|
36 |
18 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
104 |
82 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
126 |
99 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
88 |
64 |
$817.76 |