| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
524 |
404 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93 |
78 |
$3K |
| 99205 |
Prolong outpt/office vis |
17 |
17 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
60 |
33 |
$596.64 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
16 |
15 |
$105.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
12 |
$28.32 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$10.02 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
13 |
12 |
$7.67 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
13 |
$1.56 |