| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,304 |
1,942 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
260 |
201 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21 |
18 |
$271.62 |
| 36415 |
Collection of venous blood by venipuncture |
213 |
192 |
$108.94 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
94 |
77 |
$69.98 |