| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,285 |
1,165 |
$68K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
295 |
160 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
672 |
617 |
$19K |
| 96367 |
|
303 |
166 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
99 |
$11K |
| 99215 |
Prolong outpt/office vis |
56 |
50 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
107 |
66 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
14 |
$668.36 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
48 |
26 |
$37.42 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
19 |
13 |
$8.17 |