| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,372 |
943 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
672 |
492 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
233 |
160 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
45 |
32 |
$14.64 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
37 |
32 |
$14.19 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
147 |
108 |
$8.72 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$2.31 |