| Subsequent hospital care |
395 |
$53 |
$20,831 |
| Office/outpatient visit est |
345 |
$44 |
$15,202 |
| Office/outpatient visit est |
106 |
$69 |
$7,362 |
| Initial hospital care |
35 |
$147 |
$5,138 |
| Office/outpatient visit new |
28 |
$105 |
$2,953 |
| Hospital discharge day |
37 |
$78 |
$2,879 |
| Subsequent hospital care |
31 |
$76 |
$2,347 |
| Office/outpatient visit new |
17 |
$135 |
$2,290 |
| Office/outpatient visit est |
12 |
$102 |
$1,228 |
| Hospital discharge day |
22 |
$53 |
$1,159 |
| Admin influenza virus vac |
35 |
$22 |
$777 |
| Fluzone vacc, 3 yrs & >, im |
32 |
$12 |
$388 |
| Office/outpatient visit est |
22 |
$15 |
$321 |
| Electrocardiogram complete |
17 |
$14 |
$236 |
| Prothrombin time |
34 |
$6 |
$189 |
| Routine venipuncture |
43 |
$3 |
$129 |
