| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,366 |
2,561 |
$79K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
86 |
66 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
256 |
210 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
849 |
604 |
$11K |
| 99205 |
Prolong outpt/office vis |
46 |
39 |
$2K |
| 72040 |
|
231 |
176 |
$1K |
| 72170 |
|
275 |
212 |
$867.21 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
23 |
$702.61 |
| 73120 |
|
553 |
230 |
$634.38 |
| 72100 |
|
213 |
166 |
$559.31 |
| 73620 |
|
429 |
174 |
$462.35 |
| 73565 |
|
192 |
150 |
$274.20 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
12 |
$25.54 |