| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
495 |
417 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
167 |
151 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
119 |
89 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$369.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
12 |
$18.40 |
| T1015 |
Clinic visit/encounter, all-inclusive |
67 |
67 |
$0.00 |