| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
717 |
609 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
168 |
160 |
$10K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
17 |
12 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79 |
68 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
271 |
225 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
47 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
165 |
149 |
$349.12 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
75 |
68 |
$62.46 |