| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
723 |
547 |
$49K |
| 99215 |
Prolong outpt/office vis |
260 |
174 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
242 |
206 |
$12K |
| 87430 |
|
738 |
559 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,006 |
715 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
276 |
177 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$840.00 |
| 81002 |
|
191 |
129 |
$350.09 |
| 92551 |
|
94 |
69 |
$291.50 |
| 99173 |
|
141 |
100 |
$250.00 |
| 90700 |
|
18 |
14 |
$237.48 |
| 90734 |
|
14 |
13 |
$197.90 |
| 90648 |
|
15 |
12 |
$197.90 |
| 94760 |
|
65 |
49 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
165 |
105 |
$0.00 |