| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
911 |
755 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
497 |
359 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
57 |
$6K |
| 87428 |
|
444 |
341 |
$761.88 |
| 87430 |
|
527 |
405 |
$183.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
140 |
127 |
$23.01 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
47 |
44 |
$17.86 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
32 |
29 |
$0.09 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
48 |
44 |
$0.02 |