| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
434 |
274 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
186 |
181 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
303 |
296 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
79 |
$4K |
| 95816 |
|
12 |
12 |
$2K |
| 95886 |
|
22 |
20 |
$983.87 |
| 93880 |
|
12 |
12 |
$513.08 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
361 |
223 |
$84.42 |
| J7050 |
Infusion, normal saline solution, 250 cc |
373 |
240 |
$78.63 |