| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
193 |
175 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
23 |
$915.57 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
13 |
$290.04 |
| 90674 |
|
13 |
13 |
$130.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$22.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$12.37 |