| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,370 |
1,049 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
135 |
$7K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
92 |
62 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
495 |
234 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
34 |
24 |
$1K |
| 96127 |
|
72 |
64 |
$169.15 |