| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,378 |
1,106 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
935 |
778 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
463 |
322 |
$7K |
| 3074F |
|
326 |
275 |
$300.00 |
| 3078F |
|
266 |
229 |
$270.00 |
| 3079F |
|
186 |
156 |
$250.00 |
| 3077F |
|
70 |
56 |
$120.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$25.43 |
| 3075F |
|
31 |
28 |
$20.00 |
| 3080F |
|
27 |
24 |
$20.00 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
13 |
$6.36 |