| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
566 |
328 |
$5K |
| 11721 |
|
1,613 |
1,271 |
$5K |
| 11750 |
|
78 |
24 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
31 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
14 |
$252.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
67 |
25 |
$16.34 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
63 |
24 |
$0.00 |
| J3411 |
Injection, thiamine hcl, 100 mg |
33 |
12 |
$0.00 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
25 |
12 |
$0.00 |
| J1955 |
Injection, levocarnitine, per 1 gm |
31 |
12 |
$0.00 |
| J3415 |
Injection, pyridoxine hcl, 100 mg |
66 |
25 |
$0.00 |