| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,149 |
1,729 |
$79K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
894 |
726 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
108 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
39 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
103 |
81 |
$2K |
| 99334 |
|
30 |
29 |
$299.58 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
642 |
541 |
$213.84 |
| 80053 |
Comprehensive metabolic panel |
30 |
30 |
$129.14 |
| 80061 |
Lipid panel |
13 |
13 |
$74.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
18 |
$51.78 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
46 |
$46.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$45.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
279 |
222 |
$6.52 |
| G0008 |
Administration of influenza virus vaccine |
24 |
24 |
$0.00 |