| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,424 |
1,165 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,074 |
952 |
$40K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
737 |
474 |
$8K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
144 |
121 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
56 |
$670.08 |
| 81002 |
|
372 |
336 |
$177.45 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
79 |
63 |
$134.64 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
13 |
$10.83 |