| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
707 |
685 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
318 |
307 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
85 |
$3K |
| 81003 |
|
231 |
216 |
$222.56 |
| A4550 |
Surgical trays |
51 |
49 |
$210.00 |
| 87430 |
|
62 |
61 |
$116.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$112.92 |
| 99070 |
|
182 |
172 |
$32.43 |
| 81025 |
|
54 |
53 |
$0.00 |