| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,311 |
1,083 |
$112K |
| 99233 |
Prolong inpt eval add15 m |
415 |
105 |
$46K |
| 99215 |
Prolong outpt/office vis |
49 |
44 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
56 |
43 |
$5K |
| 80053 |
Comprehensive metabolic panel |
564 |
258 |
$4K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
24 |
12 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
17 |
15 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
246 |
110 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
27 |
$939.30 |
| 36415 |
Collection of venous blood by venipuncture |
193 |
114 |
$455.10 |
| 84443 |
Thyroid stimulating hormone (TSH) |
46 |
25 |
$357.63 |