| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,791 |
4,513 |
$594K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
474 |
249 |
$24K |
| 96401 |
|
485 |
309 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
69 |
$10K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
320 |
160 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,737 |
1,522 |
$5K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
42 |
26 |
$4K |
| 96417 |
|
41 |
25 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
31 |
$3K |
| 96415 |
|
42 |
26 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
15 |
14 |
$289.60 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
249 |
167 |
$184.21 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
87 |
53 |
$99.97 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
12 |
12 |
$16.44 |