| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
577 |
458 |
$29K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
313 |
96 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
205 |
178 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
358 |
64 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
39 |
36 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44 |
39 |
$1K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
54 |
12 |
$780.78 |
| 99233 |
Prolong inpt eval add15 m |
23 |
13 |
$539.55 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
24 |
$130.60 |
| J7050 |
Infusion, normal saline solution, 250 cc |
211 |
65 |
$24.04 |