| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 1,033 | 1,680 | 820 | $90 | $307K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 750 | 1,750 | 870 | $70 | $254.4K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 42 | 190 | 480 | $70 | $218.8K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 1 | 10 | 1,180 | $100 | $212.6K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 57 | 280 | 840 | $50 | $179.5K |
| Q0081 | Infusion therapy, using other than chemotherapeutic drugs, per visit | 1 | 10 | 4,960 | $40 | $176.1K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 51 | 200 | 110 | $140 | $105.8K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 30 | 120 | 90 | $130 | $92.8K |
| J0878 | Injection, daptomycin, 1 mg | 1 | 10 | 2,130 | $40 | $75.4K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | 6 | 10 | 1,900 | $20 | $55.6K |