| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
401 |
255 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
59 |
39 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
60 |
38 |
$810.75 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
118 |
73 |
$752.39 |
| 99201 |
|
21 |
12 |
$166.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
45 |
34 |
$70.92 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
21 |
16 |
$1.84 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
13 |
$1.44 |