| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,768 |
1,472 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
398 |
371 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
309 |
253 |
$3K |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
15 |
15 |
$96.48 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
263 |
213 |
$61.37 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
25 |
$44.85 |
| 81002 |
|
24 |
15 |
$33.14 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
30 |
27 |
$21.11 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
253 |
205 |
$0.00 |