| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
159 |
131 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
141 |
122 |
$5K |
| 3008F |
|
176 |
129 |
$690.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
22 |
$329.06 |
| 82962 |
|
37 |
32 |
$36.68 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
12 |
$26.73 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
46 |
34 |
$12.48 |