| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,509 |
1,331 |
$136K |
| 99215 |
Prolong outpt/office vis |
218 |
183 |
$30K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
154 |
125 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
43 |
$7K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
135 |
118 |
$1K |
| 17110 |
|
12 |
12 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
31 |
27 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$20.40 |