| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
203 |
149 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
27 |
$909.83 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
21 |
12 |
$384.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
24 |
$380.24 |
| T1015 |
Clinic visit/encounter, all-inclusive |
30 |
30 |
$0.00 |