| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
680 |
626 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
315 |
291 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
93 |
85 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
575 |
395 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
46 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,011 |
952 |
$2K |
| 80306 |
|
104 |
63 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
236 |
161 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
20 |
12 |
$17.29 |
| 99000 |
|
98 |
97 |
$0.00 |