| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
789 |
656 |
$30K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
379 |
162 |
$18K |
| 96367 |
|
296 |
137 |
$7K |
| J3490 |
Unclassified drugs |
359 |
127 |
$4K |
| 99215 |
Prolong outpt/office vis |
75 |
69 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
126 |
59 |
$1K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
92 |
38 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
15 |
$320.70 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
252 |
115 |
$171.49 |