| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
858 |
759 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
338 |
309 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$300.84 |
| 90756 |
|
30 |
30 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
144 |
134 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
43 |
43 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
17 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |