| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
275 |
272 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
229 |
219 |
$4K |
| A4550 |
Surgical trays |
36 |
33 |
$238.38 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
20 |
19 |
$98.64 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20 |
19 |
$90.66 |
| 81003 |
|
22 |
21 |
$35.82 |
| 99070 |
|
85 |
81 |
$24.84 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |