| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
1,288 |
322 |
$70K |
| 93793 |
|
8,504 |
2,606 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
681 |
637 |
$31K |
| 99215 |
Prolong outpt/office vis |
338 |
332 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,382 |
1,977 |
$13K |
| 85610 |
|
2,027 |
815 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
96 |
83 |
$10K |
| 85240 |
|
540 |
446 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
47 |
36 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,592 |
1,603 |
$1K |
| 85246 |
|
111 |
97 |
$1K |
| 85730 |
|
172 |
146 |
$1K |
| 85245 |
|
79 |
65 |
$674.56 |
| 99000 |
|
17 |
14 |
$375.36 |
| 85397 |
|
14 |
14 |
$259.28 |
| 85027 |
|
40 |
27 |
$229.60 |