| Code | Description | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
$6K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
$2K |
| 99215 |
Prolong outpt/office vis |
$818.46 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
$417.84 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
$216.27 |
| 36415 |
Collection of venous blood by venipuncture |
$2.16 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
$0.00 |
| 99205 |
Prolong outpt/office vis |
$0.00 |