| Code | Description | Claims | Bene. Records | Total Paid |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
972 |
852 |
$31K |
| 82728 |
|
220 |
210 |
$17K |
| 82607 |
|
169 |
163 |
$12K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
16 |
12 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
43 |
24 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
40 |
40 |
$4K |
| 85027 |
|
47 |
45 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
18 |
12 |
$526.78 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
15 |
$524.50 |