| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,904 |
3,618 |
$84K |
| 99199 |
Unlisted special service, procedure or report |
1,667 |
1,634 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
120 |
82 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
621 |
321 |
$1K |
| 81003 |
|
1,834 |
1,551 |
$614.28 |
| 93000 |
|
139 |
116 |
$303.05 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
12 |
$6.52 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
30 |
26 |
$0.00 |