| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
661 |
627 |
$23K |
| 99233 |
Prolong inpt eval add15 m |
293 |
180 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
104 |
56 |
$2K |
| 99215 |
Prolong outpt/office vis |
31 |
28 |
$690.08 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
19 |
13 |
$555.17 |
| J1756 |
Injection, iron sucrose, 1 mg |
18 |
12 |
$372.64 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
14 |
$238.09 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
245 |
219 |
$181.64 |
| 80053 |
Comprehensive metabolic panel |
89 |
81 |
$19.85 |
| 36415 |
Collection of venous blood by venipuncture |
85 |
77 |
$3.05 |
| 82728 |
|
29 |
25 |
$0.00 |
| 83615 |
|
40 |
36 |
$0.00 |
| 83550 |
|
29 |
25 |
$0.00 |
| 83540 |
|
29 |
25 |
$0.00 |