| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
271 |
248 |
$12K |
| 99215 |
Prolong outpt/office vis |
108 |
92 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
30 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
37 |
13 |
$607.10 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
17 |
$510.96 |
| J7050 |
Infusion, normal saline solution, 250 cc |
38 |
12 |
$52.50 |