| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
442 |
279 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
92 |
73 |
$2K |
| 99307 |
|
504 |
382 |
$996.17 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
22 |
$312.42 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
101 |
67 |
$227.64 |
| 99305 |
|
22 |
13 |
$187.02 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
105 |
71 |
$85.51 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
16 |
13 |
$32.01 |
| 80061 |
Lipid panel |
16 |
13 |
$27.60 |
| 36415 |
Collection of venous blood by venipuncture |
112 |
82 |
$17.01 |
| 99304 |
|
47 |
21 |
$2.24 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
40 |
$0.00 |