| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
490 |
357 |
$28K |
| 99233 |
Prolong inpt eval add15 m |
70 |
24 |
$4K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
47 |
27 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
52 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$419.36 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
24 |
$6.60 |