| Code | Description | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
$13K |
| 00812 |
|
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
$3K |
| 99233 |
Prolong inpt eval add15 m |
$2K |
| 99215 |
Prolong outpt/office vis |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
$633.23 |