| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
123 |
97 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
21 |
$921.14 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
29 |
22 |
$871.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
53 |
41 |
$659.27 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$79.97 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
20 |
14 |
$26.64 |
| 1160F |
|
16 |
13 |
$0.00 |