| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,139 |
964 |
$38K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,234 |
848 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
71 |
$4K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
146 |
77 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
212 |
116 |
$1K |
| J1756 |
Injection, iron sucrose, 1 mg |
22 |
12 |
$746.08 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
22 |
12 |
$640.74 |
| 36415 |
Collection of venous blood by venipuncture |
791 |
608 |
$628.82 |
| J7050 |
Infusion, normal saline solution, 250 cc |
321 |
173 |
$530.37 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
22 |
13 |
$253.79 |