| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
307 |
205 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
158 |
143 |
$10K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
170 |
100 |
$7K |
| J1756 |
Injection, iron sucrose, 1 mg |
137 |
85 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
879 |
550 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
37 |
$496.89 |
| J7050 |
Infusion, normal saline solution, 250 cc |
265 |
172 |
$355.06 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
215 |
132 |
$269.57 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
19 |
12 |
$94.64 |
| 36416 |
|
853 |
531 |
$51.10 |
| 99000 |
|
855 |
535 |
$10.00 |