| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,339 |
2,084 |
$114K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,909 |
2,442 |
$94K |
| 99215 |
Prolong outpt/office vis |
315 |
259 |
$18K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,130 |
525 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
186 |
169 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
39 |
38 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
118 |
98 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
82 |
26 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
36 |
$818.88 |
| 11721 |
|
105 |
98 |
$565.83 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
20 |
17 |
$292.46 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
32 |
28 |
$190.79 |
| 1111F |
|
318 |
250 |
$0.00 |
| 3017F |
|
246 |
193 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
341 |
189 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
32 |
28 |
$0.00 |