| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
556 |
517 |
$55K |
| J1756 |
Injection, iron sucrose, 1 mg |
79 |
53 |
$11K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
133 |
88 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
141 |
132 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16 |
12 |
$624.11 |
| 82728 |
|
28 |
27 |
$377.19 |
| 80053 |
Comprehensive metabolic panel |
17 |
17 |
$183.94 |