| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
659 |
470 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
226 |
178 |
$3K |
| 86328 |
|
166 |
115 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
36 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
107 |
79 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
90 |
62 |
$446.04 |
| 36415 |
Collection of venous blood by venipuncture |
94 |
72 |
$26.73 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
79 |
58 |
$21.10 |
| 99173 |
|
14 |
13 |
$20.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
61 |
47 |
$5.98 |
| 96160 |
|
17 |
13 |
$0.00 |