| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
276 |
229 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
17 |
$209.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21 |
14 |
$135.08 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
13 |
$17.60 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
17 |
$11.77 |