CT ($904K)
| Code | Description | Total Paid |
|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $861K |
| 99205 | Prolong outpt/office vis | $20K |
| 99215 | Prolong outpt/office vis | $20K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $3K |
| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | RODRIGUEZ, MARISOL | NEWINGTON, CT | 10,198 | $904K |