| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 81003 |
|
1,009 |
606 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
119 |
84 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
881 |
402 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
113 |
93 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
16 |
$0.00 |
| 90686 |
|
21 |
16 |
$0.00 |
| 0501F |
|
16 |
15 |
$0.00 |