| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,714 |
2,870 |
$199K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,713 |
1,238 |
$43K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
985 |
703 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
159 |
129 |
$11K |
| 93000 |
|
1,080 |
1,051 |
$11K |
| 90682 |
|
64 |
64 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
79 |
79 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
28 |
27 |
$62.56 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
50 |
47 |
$61.20 |