| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
651 |
610 |
$41K |
| 76775 |
|
186 |
185 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
48 |
$4K |
| 51728 |
|
15 |
15 |
$3K |
| 82570 |
|
868 |
788 |
$3K |
| 81000 |
|
840 |
763 |
$2K |
| 51798 |
|
157 |
152 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 51784 |
|
15 |
15 |
$581.62 |
| 36415 |
Collection of venous blood by venipuncture |
203 |
203 |
$273.35 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
160 |
156 |
$209.37 |
| 51741 |
|
15 |
15 |
$118.08 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
32 |
31 |
$112.97 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
43 |
42 |
$87.25 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
183 |
178 |
$31.80 |