| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,689 |
2,400 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
242 |
213 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
93 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
197 |
177 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
36 |
34 |
$67.52 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
59 |
57 |
$61.83 |
| 3077F |
|
302 |
290 |
$0.00 |
| 3078F |
|
477 |
437 |
$0.00 |
| 3079F |
|
448 |
430 |
$0.00 |
| 3074F |
|
663 |
609 |
$0.00 |
| 3075F |
|
113 |
110 |
$0.00 |
| 3080F |
|
134 |
132 |
$0.00 |