| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,489 |
2,029 |
$96K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
709 |
620 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
66 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
68 |
$4K |
| 90674 |
|
98 |
95 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
95 |
$390.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
104 |
94 |
$148.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
413 |
365 |
$44.78 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
70 |
63 |
$35.20 |