| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
209 |
194 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
88 |
86 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
58 |
53 |
$868.97 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
24 |
21 |
$750.37 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
37 |
$195.18 |
| 2010F |
|
26 |
25 |
$6.76 |
| 3008F |
|
46 |
44 |
$0.00 |
| 1160F |
|
13 |
13 |
$0.00 |