| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
738 |
208 |
$987.80 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
738 |
208 |
$613.59 |
| 96521 |
|
730 |
208 |
$255.38 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
603 |
196 |
$76.51 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
30 |
$0.00 |