| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,607 |
4,622 |
$260K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
64 |
44 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,405 |
860 |
$17K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
185 |
89 |
$16K |
| 96523 |
|
758 |
671 |
$14K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
73 |
47 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
172 |
144 |
$5K |
| 99215 |
Prolong outpt/office vis |
38 |
35 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
620 |
439 |
$3K |
| 99205 |
Prolong outpt/office vis |
14 |
12 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
18 |
12 |
$320.11 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
42 |
24 |
$20.26 |