| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
386 |
267 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
14 |
$950.93 |
| 95923 |
|
20 |
18 |
$550.08 |
| 93922 |
|
19 |
17 |
$488.01 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
73 |
33 |
$176.92 |
| 81002 |
|
62 |
36 |
$68.83 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
16 |
$39.48 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
41 |
16 |
$13.51 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
30 |
13 |
$7.17 |