| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,344 |
1,219 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
334 |
317 |
$19K |
| 99233 |
Prolong inpt eval add15 m |
69 |
44 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
53 |
46 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,042 |
970 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
46 |
43 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$694.31 |
| 93000 |
|
13 |
12 |
$103.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$84.70 |
| 3074F |
|
30 |
29 |
$0.02 |
| 1036F |
|
30 |
27 |
$0.00 |