| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
101 |
91 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
22 |
$840.25 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$480.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
21 |
$330.43 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
17 |
$34.99 |
| 2010F |
|
27 |
27 |
$10.14 |
| 3008F |
|
66 |
61 |
$0.00 |