| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,272 |
1,138 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
918 |
873 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
219 |
215 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
511 |
474 |
$3K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
27 |
26 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$937.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$935.48 |
| 36415 |
Collection of venous blood by venipuncture |
856 |
826 |
$24.47 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
44 |
42 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
20 |
$0.00 |
| 90686 |
|
20 |
20 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
24 |
24 |
$0.00 |