| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99349 |
|
2,183 |
1,918 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
38 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 93000 |
|
554 |
546 |
$756.24 |
| 99490 |
Ccm add 20min |
478 |
478 |
$545.67 |
| 0011A |
|
12 |
12 |
$365.53 |
| 99497 |
|
75 |
75 |
$121.40 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
70 |
69 |
$121.28 |
| 90658 |
|
35 |
35 |
$74.32 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
70 |
$67.21 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
109 |
109 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
35 |
35 |
$0.00 |
| 94667 |
|
14 |
13 |
$0.00 |