| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
222 |
83 |
$61.61 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
13 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
53 |
28 |
$0.00 |
| 4040F |
|
50 |
26 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
12 |
$0.00 |
| 1124F |
|
22 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
73 |
49 |
$0.00 |