| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,400 |
1,298 |
$33K |
| 99215 |
Prolong outpt/office vis |
826 |
734 |
$28K |
| 99233 |
Prolong inpt eval add15 m |
276 |
136 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$186.81 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
19 |
13 |
$94.47 |
| 99490 |
Ccm add 20min |
12 |
12 |
$70.73 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
49 |
40 |
$33.16 |
| 80053 |
Comprehensive metabolic panel |
28 |
24 |
$2.11 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$0.00 |
| 83735 |
|
14 |
12 |
$0.00 |
| 83615 |
|
14 |
12 |
$0.00 |
| 84100 |
|
14 |
12 |
$0.00 |
| 84550 |
|
14 |
12 |
$0.00 |