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Medicare of Arkansas Reimbursement Rates

Accepting Medicare of Arkansas shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Medicare of Arkansas Reimbursement Rates for Physical Therapy Practices in Arkansas

Physical Therapy Practice Benchmarks in Arkansas

Average Reimbursement Per Visit

While negotiated reimbursement rates between Medicare of Arkansas and a healthcare provider are confidential, we can give you a general sense for Medicare of Arkansas's reimbursement rates by looking at the aggregate data across StrataPT's customers.
$104.24
Latest
$93.71
Expected
$104.24
High
$117.61
Mean
$97.45
Low
$92.90
Median
$97.21

Recent Visit CPT Code Combinations

Data refreshed 10 hours ago
Codes and Units Units Total Reimbursement Average Per Unit
97110 x 3 (Assistant), 97530 x 2 (Assistant)
Units
5 units @ $19.78 average per unit
Reimbursement
$98.92 total reimbursement
5$98.92$19.78
97110 x 3 (No Assistant), 97530 x 2 (No Assistant)
Units
5 units @ $22.75 average per unit
Reimbursement
$113.77 total reimbursement
5$113.77$22.75
97110 x 2 (Assistant), 97530 x 2 (Assistant), 97535 x 1 (Assistant)
Units
5 units @ $20.29 average per unit
Reimbursement
$101.43 total reimbursement
5$101.43$20.29
97110 x 2 (No Assistant), 97161 x 1 (No Assistant), 97535 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $31.88 average per unit
Reimbursement
$159.39 total reimbursement
5$159.39$31.88
97110 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
3 units @ $24.64 average per unit
Reimbursement
$73.93 total reimbursement
3$73.93$24.64
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $23.14 average per unit
Reimbursement
$92.56 total reimbursement
4$92.56$23.14
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97150 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $18.85 average per unit
Reimbursement
$75.40 total reimbursement
4$75.40$18.85
97110 x 2 (No Assistant), 97140 x 1 (No Assistant)
Units
3 units @ $22.00 average per unit
Reimbursement
$65.99 total reimbursement
3$65.99$22.00
97110 x 3 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant)
Units
5 units @ $19.64 average per unit
Reimbursement
$98.18 total reimbursement
5$98.18$19.64
97110 x 3 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $17.51 average per unit
Reimbursement
$87.53 total reimbursement
5$87.53$17.51
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97116 x 1 (No Assistant)
Units
4 units @ $22.53 average per unit
Reimbursement
$90.13 total reimbursement
4$90.13$22.53
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $19.36 average per unit
Reimbursement
$96.81 total reimbursement
5$96.81$19.36
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $21.72 average per unit
Reimbursement
$65.15 total reimbursement
3$65.15$21.72
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant), G0283 x 1 (Assistant)
Units
4 units @ $17.00 average per unit
Reimbursement
$67.98 total reimbursement
4$67.98$17.00
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
5 units @ $23.85 average per unit
Reimbursement
$119.23 total reimbursement
5$119.23$23.85
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97116 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
5 units @ $23.28 average per unit
Reimbursement
$116.41 total reimbursement
5$116.41$23.28
97110 x 2 (No Assistant), 97112 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
5 units @ $23.17 average per unit
Reimbursement
$115.85 total reimbursement
5$115.85$23.17
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97116 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
5 units @ $22.94 average per unit
Reimbursement
$114.72 total reimbursement
5$114.72$22.94
97110 x 1 (Assistant), 97112 x 2 (Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $18.02 average per unit
Reimbursement
$72.09 total reimbursement
4$72.09$18.02
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 2 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $18.25 average per unit
Reimbursement
$109.49 total reimbursement
6$109.49$18.25
97012 x 1 (Assistant), 97110 x 3 (Assistant), 97112 x 1 (Assistant)
Units
5 units @ $16.85 average per unit
Reimbursement
$84.24 total reimbursement
5$84.24$16.85
97110 x 3 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $20.05 average per unit
Reimbursement
$80.20 total reimbursement
4$80.20$20.05
97110 x 3 (Assistant), 97112 x 2 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $17.26 average per unit
Reimbursement
$103.56 total reimbursement
6$103.56$17.26
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant)
Units
5 units @ $19.73 average per unit
Reimbursement
$98.65 total reimbursement
5$98.65$19.73
97530 x 3 (Assistant)
Units
3 units @ $20.46 average per unit
Reimbursement
$61.38 total reimbursement
3$61.38$20.46
97110 x 2 (No Assistant), 97112 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
6 units @ $22.14 average per unit
Reimbursement
$132.86 total reimbursement
6$132.86$22.14
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant)
Units
4 units @ $19.55 average per unit
Reimbursement
$78.20 total reimbursement
4$78.20$19.55
97110 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
2 units @ $25.76 average per unit
Reimbursement
$51.51 total reimbursement
2$51.51$25.76
97110 x 2 (Assistant), 97112 x 2 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
6 units @ $19.80 average per unit
Reimbursement
$118.79 total reimbursement
6$118.79$19.80
97016 x 1 (Assistant), 97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $16.33 average per unit
Reimbursement
$97.95 total reimbursement
6$97.95$16.33
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $20.40 average per unit
Reimbursement
$101.98 total reimbursement
5$101.98$20.40
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97161 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
4 units @ $38.58 average per unit
Reimbursement
$154.34 total reimbursement
4$154.34$38.58
97012 x 1 (Assistant), 97110 x 3 (Assistant), 97112 x 1 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $15.23 average per unit
Reimbursement
$91.41 total reimbursement
6$91.41$15.23
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97124 x 1 (Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $17.46 average per unit
Reimbursement
$69.83 total reimbursement
4$69.83$17.46
97110 x 2 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $17.52 average per unit
Reimbursement
$87.58 total reimbursement
5$87.58$17.52
97035 x 1 (No Assistant), 97110 x 1 (No Assistant), 97112 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $16.97 average per unit
Reimbursement
$67.87 total reimbursement
4$67.87$16.97
97110 x 1 (No Assistant), 97140 x 2 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $19.75 average per unit
Reimbursement
$98.75 total reimbursement
5$98.75$19.75
97110 x 2 (Assistant)
Units
2 units @ $21.17 average per unit
Reimbursement
$42.33 total reimbursement
2$42.33$21.17
97110 x 3 (Assistant), 97116 x 1 (Assistant), 97530 x 2 (Assistant)
Units
6 units @ $18.84 average per unit
Reimbursement
$113.03 total reimbursement
6$113.03$18.84
97110 x 3 (Assistant), 97112 x 2 (Assistant), 97530 x 1 (Assistant)
Units
6 units @ $19.66 average per unit
Reimbursement
$117.96 total reimbursement
6$117.96$19.66
97110 x 1 (No Assistant), 97161 x 1 (No Assistant), 97535 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $34.83 average per unit
Reimbursement
$139.32 total reimbursement
4$139.32$34.83
97110 x 2 (Assistant), 97112 x 2 (Assistant), 97116 x 1 (Assistant)
Units
5 units @ $19.72 average per unit
Reimbursement
$98.58 total reimbursement
5$98.58$19.72
97110 x 2 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $17.95 average per unit
Reimbursement
$71.78 total reimbursement
4$71.78$17.95
97035 x 1 (Assistant), 97110 x 1 (Assistant), 97140 x 1 (Assistant), G0283 x 1 (Assistant)
Units
4 units @ $14.04 average per unit
Reimbursement
$56.17 total reimbursement
4$56.17$14.04
97110 x 1 (Assistant), 97112 x 2 (Assistant)
Units
3 units @ $21.13 average per unit
Reimbursement
$63.38 total reimbursement
3$63.38$21.13
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97530 x 2 (Assistant)
Units
5 units @ $20.98 average per unit
Reimbursement
$104.91 total reimbursement
5$104.91$20.98
97110 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 2 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $17.89 average per unit
Reimbursement
$89.45 total reimbursement
5$89.45$17.89
97012 x 1 (Assistant), 97110 x 2 (Assistant), 97112 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $15.12 average per unit
Reimbursement
$75.62 total reimbursement
5$75.62$15.12
97110 x 2 (No Assistant), 97116 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $23.06 average per unit
Reimbursement
$92.25 total reimbursement
4$92.25$23.06
97110 x 2 (No Assistant), 97112 x 1 (No Assistant)
Units
3 units @ $23.23 average per unit
Reimbursement
$69.68 total reimbursement
3$69.68$23.23
97110 x 3 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $16.89 average per unit
Reimbursement
$101.35 total reimbursement
6$101.35$16.89
97012 x 1 (No Assistant), 97110 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $16.11 average per unit
Reimbursement
$64.44 total reimbursement
4$64.44$16.11
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
5 units @ $19.55 average per unit
Reimbursement
$97.77 total reimbursement
5$97.77$19.55
97012 x 1 (Assistant), 97110 x 2 (Assistant), 97530 x 2 (Assistant)
Units
5 units @ $17.54 average per unit
Reimbursement
$87.68 total reimbursement
5$87.68$17.54
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97161 x 1 (No Assistant), 97535 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $31.88 average per unit
Reimbursement
$159.41 total reimbursement
5$159.41$31.88
97110 x 2 (Assistant), 97140 x 2 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $17.41 average per unit
Reimbursement
$104.48 total reimbursement
6$104.48$17.41
97110 x 2 (No Assistant), 97530 x 2 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $20.57 average per unit
Reimbursement
$102.85 total reimbursement
5$102.85$20.57
97110 x 1 (No Assistant), 97161 x 1 (No Assistant), 97530 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
4 units @ $38.57 average per unit
Reimbursement
$154.28 total reimbursement
4$154.28$38.57
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 2 (Assistant)
Units
6 units @ $20.19 average per unit
Reimbursement
$121.13 total reimbursement
6$121.13$20.19
97165 x 1 (No Assistant)
Units
1 units @ $91.68 average per unit
Reimbursement
$91.68 total reimbursement
1$91.68$91.68
97140 x 2 (No Assistant)
Units
2 units @ $22.06 average per unit
Reimbursement
$44.12 total reimbursement
2$44.12$22.06
97110 x 3 (Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $16.87 average per unit
Reimbursement
$67.48 total reimbursement
4$67.48$16.87
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97750 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $20.40 average per unit
Reimbursement
$81.60 total reimbursement
4$81.60$20.40
97016 x 1 (No Assistant), 97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97116 x 1 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
6 units @ $18.54 average per unit
Reimbursement
$111.24 total reimbursement
6$111.24$18.54
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 3 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $18.78 average per unit
Reimbursement
$112.67 total reimbursement
6$112.67$18.78
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $18.09 average per unit
Reimbursement
$90.45 total reimbursement
5$90.45$18.09
97110 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $20.22 average per unit
Reimbursement
$80.90 total reimbursement
4$80.90$20.22
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $21.16 average per unit
Reimbursement
$84.64 total reimbursement
4$84.64$21.16
97110 x 1 (Assistant), 97140 x 2 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $17.42 average per unit
Reimbursement
$87.10 total reimbursement
5$87.10$17.42
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $19.37 average per unit
Reimbursement
$77.46 total reimbursement
4$77.46$19.37
97110 x 2 (No Assistant), 97150 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $21.04 average per unit
Reimbursement
$84.16 total reimbursement
4$84.16$21.04
97110 x 1 (No Assistant), 97530 x 2 (No Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $20.56 average per unit
Reimbursement
$82.26 total reimbursement
4$82.26$20.56
97110 x 2 (No Assistant), 97150 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
5 units @ $21.36 average per unit
Reimbursement
$106.80 total reimbursement
5$106.80$21.36
97110 x 2 (No Assistant), 97161 x 1 (No Assistant), 97530 x 2 (No Assistant), 97535 x 1 (No Assistant)
Units
6 units @ $31.56 average per unit
Reimbursement
$189.36 total reimbursement
6$189.36$31.56
97110 x 2 (No Assistant), 97161 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
4 units @ $37.25 average per unit
Reimbursement
$149.01 total reimbursement
4$149.01$37.25
97110 x 3 (No Assistant), 97112 x 2 (No Assistant)
Units
5 units @ $22.14 average per unit
Reimbursement
$110.68 total reimbursement
5$110.68$22.14
97110 x 1 (Assistant), 97140 x 2 (Assistant), G0283 x 1 (Assistant)
Units
4 units @ $16.23 average per unit
Reimbursement
$64.91 total reimbursement
4$64.91$16.23
97110 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $21.12 average per unit
Reimbursement
$63.36 total reimbursement
3$63.36$21.12
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $20.55 average per unit
Reimbursement
$82.21 total reimbursement
4$82.21$20.55
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 2 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $20.81 average per unit
Reimbursement
$104.04 total reimbursement
5$104.04$20.81
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97750 x 1 (No Assistant)
Units
3 units @ $24.37 average per unit
Reimbursement
$73.11 total reimbursement
3$73.11$24.37
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97161 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
4 units @ $37.76 average per unit
Reimbursement
$151.06 total reimbursement
4$151.06$37.76
97035 x 1 (Assistant), 97110 x 1 (Assistant), 97112 x 1 (Assistant), G0283 x 1 (Assistant)
Units
4 units @ $14.93 average per unit
Reimbursement
$59.70 total reimbursement
4$59.70$14.93
97022 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $20.02 average per unit
Reimbursement
$80.10 total reimbursement
4$80.10$20.02
97016 x 1 (Assistant), 97110 x 2 (Assistant), 97530 x 2 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $16.33 average per unit
Reimbursement
$97.95 total reimbursement
6$97.95$16.33
97012 x 1 (Assistant), 97110 x 2 (Assistant), 97112 x 1 (Assistant)
Units
4 units @ $17.73 average per unit
Reimbursement
$70.92 total reimbursement
4$70.92$17.73
95886 x 2 (No Assistant), 95911 x 1 (No Assistant)
Units
3 units @ $113.74 average per unit
Reimbursement
$341.23 total reimbursement
3$341.23$113.74
97035 x 1 (Assistant), 97110 x 2 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $15.55 average per unit
Reimbursement
$77.75 total reimbursement
5$77.75$15.55
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant), 97535 x 1 (Assistant)
Units
5 units @ $19.69 average per unit
Reimbursement
$98.47 total reimbursement
5$98.47$19.69
97110 x 1 (Assistant), 97530 x 1 (Assistant)
Units
2 units @ $22.53 average per unit
Reimbursement
$45.07 total reimbursement
2$45.07$22.53
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
5 units @ $20.37 average per unit
Reimbursement
$101.87 total reimbursement
5$101.87$20.37
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $20.18 average per unit
Reimbursement
$80.73 total reimbursement
4$80.73$20.18
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97161 x 1 (No Assistant), 97530 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
5 units @ $35.15 average per unit
Reimbursement
$175.77 total reimbursement
5$175.77$35.15
97110 x 2 (No Assistant), 97140 x 2 (No Assistant)
Units
4 units @ $21.32 average per unit
Reimbursement
$85.28 total reimbursement
4$85.28$21.32
97110 x 3 (Assistant)
Units
3 units @ $19.48 average per unit
Reimbursement
$58.45 total reimbursement
3$58.45$19.48
97110 x 1 (No Assistant), 97530 x 3 (No Assistant)
Units
4 units @ $24.21 average per unit
Reimbursement
$96.82 total reimbursement
4$96.82$24.21
97110 x 1 (No Assistant), 97150 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $21.71 average per unit
Reimbursement
$86.85 total reimbursement
4$86.85$21.71
97110 x 2 (Assistant), 97112 x 2 (Assistant), 97116 x 1 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $17.11 average per unit
Reimbursement
$102.69 total reimbursement
6$102.69$17.11
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), 97535 x 1 (Assistant)
Units
5 units @ $20.24 average per unit
Reimbursement
$101.21 total reimbursement
5$101.21$20.24
97110 x 2 (Assistant), 97112 x 3 (Assistant)
Units
5 units @ $20.11 average per unit
Reimbursement
$100.57 total reimbursement
5$100.57$20.11
97110 x 3 (Assistant), 97530 x 2 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $17.10 average per unit
Reimbursement
$102.61 total reimbursement
6$102.61$17.10
97110 x 2 (No Assistant), 97165 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
5 units @ $35.62 average per unit
Reimbursement
$178.09 total reimbursement
5$178.09$35.62
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97150 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $21.59 average per unit
Reimbursement
$86.37 total reimbursement
4$86.37$21.59
97110 x 1 (Assistant), 97112 x 3 (Assistant), 97530 x 1 (Assistant)
Units
5 units @ $21.04 average per unit
Reimbursement
$105.19 total reimbursement
5$105.19$21.04
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97140 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $17.30 average per unit
Reimbursement
$86.48 total reimbursement
5$86.48$17.30
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant)
Units
3 units @ $20.22 average per unit
Reimbursement
$60.65 total reimbursement
3$60.65$20.22
95886 x 1 (No Assistant), 95910 x 1 (No Assistant)
Units
2 units @ $115.32 average per unit
Reimbursement
$230.63 total reimbursement
2$230.63$115.32
97012 x 1 (Assistant), 97110 x 3 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant)
Units
6 units @ $17.24 average per unit
Reimbursement
$103.45 total reimbursement
6$103.45$17.24
97016 x 1 (No Assistant), 97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 2 (No Assistant), G0283 x 1 (No Assistant)
Units
6 units @ $18.92 average per unit
Reimbursement
$113.53 total reimbursement
6$113.53$18.92
97530 x 1 (Assistant), 97750 x 1 (No Assistant)
Units
2 units @ $24.86 average per unit
Reimbursement
$49.71 total reimbursement
2$49.71$24.86
97112 x 2 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $21.82 average per unit
Reimbursement
$87.26 total reimbursement
4$87.26$21.82
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 2 (Assistant)
Units
5 units @ $20.12 average per unit
Reimbursement
$100.58 total reimbursement
5$100.58$20.12
97110 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $23.96 average per unit
Reimbursement
$71.89 total reimbursement
3$71.89$23.96
97016 x 1 (Assistant), 97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant)
Units
5 units @ $18.10 average per unit
Reimbursement
$90.48 total reimbursement
5$90.48$18.10
97110 x 1 (Assistant)
Units
1 units @ $22.83 average per unit
Reimbursement
$22.83 total reimbursement
1$22.83$22.83
97035 x 1 (Assistant), 97110 x 1 (Assistant), 97112 x 1 (Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $15.28 average per unit
Reimbursement
$61.11 total reimbursement
4$61.11$15.28
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97116 x 1 (Assistant)
Units
4 units @ $20.05 average per unit
Reimbursement
$80.18 total reimbursement
4$80.18$20.05
97110 x 2 (No Assistant), 97165 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
4 units @ $38.51 average per unit
Reimbursement
$154.05 total reimbursement
4$154.05$38.51
97110 x 2 (Assistant), 97112 x 2 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant)
Units
6 units @ $19.38 average per unit
Reimbursement
$116.29 total reimbursement
6$116.29$19.38
97110 x 1 (No Assistant), 97161 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
3 units @ $42.30 average per unit
Reimbursement
$126.91 total reimbursement
3$126.91$42.30
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant)
Units
4 units @ $19.70 average per unit
Reimbursement
$78.82 total reimbursement
4$78.82$19.70
97110 x 2 (No Assistant), 97116 x 1 (No Assistant)
Units
3 units @ $22.21 average per unit
Reimbursement
$66.63 total reimbursement
3$66.63$22.21
97110 x 2 (No Assistant), 97112 x 2 (No Assistant), 97161 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
6 units @ $30.63 average per unit
Reimbursement
$183.78 total reimbursement
6$183.78$30.63
97110 x 2 (Assistant), 97112 x 2 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $17.54 average per unit
Reimbursement
$87.69 total reimbursement
5$87.69$17.54
97110 x 3 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant)
Units
5 units @ $19.31 average per unit
Reimbursement
$96.55 total reimbursement
5$96.55$19.31
97022 x 1 (No Assistant), 97110 x 2 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $18.45 average per unit
Reimbursement
$73.80 total reimbursement
4$73.80$18.45
97016 x 1 (Assistant), 97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $16.00 average per unit
Reimbursement
$80.02 total reimbursement
5$80.02$16.00
97110 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $17.72 average per unit
Reimbursement
$70.86 total reimbursement
4$70.86$17.72
97110 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (No Assistant)
Units
3 units @ $17.95 average per unit
Reimbursement
$53.85 total reimbursement
3$53.85$17.95
97110 x 1 (No Assistant), 97112 x 2 (No Assistant)
Units
3 units @ $24.08 average per unit
Reimbursement
$72.24 total reimbursement
3$72.24$24.08
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $20.95 average per unit
Reimbursement
$104.77 total reimbursement
5$104.77$20.95
97140 x 2 (No Assistant), 97530 x 2 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $20.19 average per unit
Reimbursement
$100.94 total reimbursement
5$100.94$20.19
97112 x 2 (Assistant), 97140 x 2 (Assistant), 97530 x 1 (Assistant)
Units
5 units @ $20.27 average per unit
Reimbursement
$101.35 total reimbursement
5$101.35$20.27
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97116 x 1 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $20.38 average per unit
Reimbursement
$101.89 total reimbursement
5$101.89$20.38
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 2 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $18.50 average per unit
Reimbursement
$92.50 total reimbursement
5$92.50$18.50
97016 x 1 (Assistant), 97110 x 2 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $15.99 average per unit
Reimbursement
$95.94 total reimbursement
6$95.94$15.99
97012 x 1 (Assistant), 97110 x 2 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $16.02 average per unit
Reimbursement
$80.08 total reimbursement
5$80.08$16.02
97012 x 1 (No Assistant), 97110 x 2 (No Assistant), 97112 x 1 (No Assistant)
Units
4 units @ $20.14 average per unit
Reimbursement
$80.54 total reimbursement
4$80.54$20.14
97012 x 1 (Assistant), 97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant)
Units
5 units @ $18.31 average per unit
Reimbursement
$91.56 total reimbursement
5$91.56$18.31
97110 x 3 (Assistant), 97140 x 2 (Assistant)
Units
5 units @ $18.26 average per unit
Reimbursement
$91.30 total reimbursement
5$91.30$18.26
97110 x 3 (Assistant), 97140 x 1 (Assistant)
Units
4 units @ $19.00 average per unit
Reimbursement
$76.00 total reimbursement
4$76.00$19.00
97110 x 3 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant)
Units
5 units @ $18.94 average per unit
Reimbursement
$94.69 total reimbursement
5$94.69$18.94
97110 x 1 (No Assistant), 97150 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $21.40 average per unit
Reimbursement
$64.19 total reimbursement
3$64.19$21.40
97110 x 2 (Assistant), 97112 x 2 (Assistant), 97140 x 1 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $17.67 average per unit
Reimbursement
$106.01 total reimbursement
6$106.01$17.67
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 2 (Assistant)
Units
6 units @ $20.10 average per unit
Reimbursement
$120.60 total reimbursement
6$120.60$20.10
97110 x 2 (Assistant), 97530 x 3 (Assistant)
Units
5 units @ $20.62 average per unit
Reimbursement
$103.09 total reimbursement
5$103.09$20.62
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97161 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
5 units @ $34.71 average per unit
Reimbursement
$173.58 total reimbursement
5$173.58$34.71
97110 x 2 (No Assistant), 97140 x 1 (No Assistant), 97161 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
5 units @ $34.25 average per unit
Reimbursement
$171.26 total reimbursement
5$171.26$34.25
97112 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $21.77 average per unit
Reimbursement
$65.31 total reimbursement
3$65.31$21.77
97012 x 1 (No Assistant), 97110 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $16.29 average per unit
Reimbursement
$81.45 total reimbursement
5$81.45$16.29
97016 x 1 (No Assistant), 97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
6 units @ $18.44 average per unit
Reimbursement
$110.63 total reimbursement
6$110.63$18.44
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97116 x 1 (No Assistant), 97161 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
5 units @ $35.03 average per unit
Reimbursement
$175.13 total reimbursement
5$175.13$35.03
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $23.22 average per unit
Reimbursement
$92.88 total reimbursement
4$92.88$23.22
97110 x 1 (Assistant), 97530 x 2 (Assistant), 97535 x 1 (Assistant)
Units
4 units @ $20.85 average per unit
Reimbursement
$83.39 total reimbursement
4$83.39$20.85
97110 x 1 (Assistant), 97140 x 2 (Assistant), 97530 x 2 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $17.54 average per unit
Reimbursement
$105.22 total reimbursement
6$105.22$17.54
97110 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
4 units @ $17.69 average per unit
Reimbursement
$70.77 total reimbursement
4$70.77$17.69
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 2 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $18.16 average per unit
Reimbursement
$108.95 total reimbursement
6$108.95$18.16
97110 x 1 (No Assistant), 97116 x 1 (No Assistant), 97161 x 1 (No Assistant), 97530 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
5 units @ $34.68 average per unit
Reimbursement
$173.42 total reimbursement
5$173.42$34.68
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97140 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $20.01 average per unit
Reimbursement
$100.06 total reimbursement
5$100.06$20.01
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97161 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
5 units @ $35.13 average per unit
Reimbursement
$175.63 total reimbursement
5$175.63$35.13
95886 x 2 (No Assistant), 95912 x 1 (No Assistant)
Units
3 units @ $123.77 average per unit
Reimbursement
$371.30 total reimbursement
3$371.30$123.77
95992 x 1 (No Assistant)
Units
1 units @ $37.78 average per unit
Reimbursement
$37.78 total reimbursement
1$37.78$37.78
97035 x 1 (Assistant), 97110 x 2 (Assistant), 97140 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $14.82 average per unit
Reimbursement
$74.10 total reimbursement
5$74.10$14.82
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 2 (Assistant), 97535 x 1 (Assistant)
Units
5 units @ $20.65 average per unit
Reimbursement
$103.26 total reimbursement
5$103.26$20.65
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97530 x 2 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $18.68 average per unit
Reimbursement
$112.10 total reimbursement
6$112.10$18.68
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 3 (Assistant)
Units
6 units @ $20.37 average per unit
Reimbursement
$122.21 total reimbursement
6$122.21$20.37
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant)
Units
3 units @ $20.08 average per unit
Reimbursement
$60.24 total reimbursement
3$60.24$20.08
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $23.48 average per unit
Reimbursement
$93.93 total reimbursement
4$93.93$23.48
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), 97535 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $18.39 average per unit
Reimbursement
$91.93 total reimbursement
5$91.93$18.39
97110 x 3 (No Assistant), 97161 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
5 units @ $33.27 average per unit
Reimbursement
$166.34 total reimbursement
5$166.34$33.27
97110 x 3 (Assistant), G0283 x 1 (Assistant)
Units
4 units @ $16.52 average per unit
Reimbursement
$66.09 total reimbursement
4$66.09$16.52
97110 x 3 (Assistant), 97112 x 1 (Assistant), 97140 x 2 (Assistant)
Units
6 units @ $18.93 average per unit
Reimbursement
$113.58 total reimbursement
6$113.58$18.93
97110 x 1 (No Assistant), 97530 x 1 (No Assistant), 97750 x 1 (No Assistant)
Units
3 units @ $24.60 average per unit
Reimbursement
$73.80 total reimbursement
3$73.80$24.60
97110 x 2 (Assistant), 97116 x 1 (Assistant)
Units
3 units @ $19.40 average per unit
Reimbursement
$58.20 total reimbursement
3$58.20$19.40
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 2 (Assistant), 97535 x 1 (Assistant)
Units
6 units @ $19.81 average per unit
Reimbursement
$118.89 total reimbursement
6$118.89$19.81
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $18.35 average per unit
Reimbursement
$91.73 total reimbursement
5$91.73$18.35
97750 x 1 (No Assistant)
Units
1 units @ $28.29 average per unit
Reimbursement
$28.29 total reimbursement
1$28.29$28.29
97161 x 1 (No Assistant)
Units
1 units @ $89.49 average per unit
Reimbursement
$89.49 total reimbursement
1$89.49$89.49
97110 x 3 (No Assistant), 97112 x 1 (No Assistant)
Units
4 units @ $22.49 average per unit
Reimbursement
$89.96 total reimbursement
4$89.96$22.49
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97140 x 2 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $17.19 average per unit
Reimbursement
$103.11 total reimbursement
6$103.11$17.19
97110 x 2 (Assistant), 97116 x 1 (Assistant), G0283 x 1 (Assistant)
Units
4 units @ $16.29 average per unit
Reimbursement
$65.17 total reimbursement
4$65.17$16.29
97110 x 1 (No Assistant), 97165 x 1 (No Assistant), 97530 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
4 units @ $39.08 average per unit
Reimbursement
$156.33 total reimbursement
4$156.33$39.08
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $17.40 average per unit
Reimbursement
$87.01 total reimbursement
5$87.01$17.40
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
5 units @ $22.35 average per unit
Reimbursement
$111.74 total reimbursement
5$111.74$22.35
97110 x 2 (Assistant), 97530 x 2 (Assistant), 97535 x 1 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $18.10 average per unit
Reimbursement
$108.61 total reimbursement
6$108.61$18.10
97110 x 3 (Assistant), 97112 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $16.63 average per unit
Reimbursement
$83.16 total reimbursement
5$83.16$16.63
97110 x 3 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $20.01 average per unit
Reimbursement
$100.03 total reimbursement
5$100.03$20.01
97110 x 4 (Assistant)
Units
4 units @ $19.12 average per unit
Reimbursement
$76.50 total reimbursement
4$76.50$19.12
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97116 x 1 (Assistant), 97140 x 1 (Assistant)
Units
5 units @ $18.65 average per unit
Reimbursement
$93.26 total reimbursement
5$93.26$18.65
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
5 units @ $19.87 average per unit
Reimbursement
$99.35 total reimbursement
5$99.35$19.87
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 2 (Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $18.75 average per unit
Reimbursement
$93.75 total reimbursement
5$93.75$18.75
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97535 x 1 (Assistant)
Units
3 units @ $21.14 average per unit
Reimbursement
$63.42 total reimbursement
3$63.42$21.14
97012 x 1 (Assistant), 97110 x 2 (Assistant), 97140 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $14.45 average per unit
Reimbursement
$72.27 total reimbursement
5$72.27$14.45
97016 x 1 (No Assistant), 97110 x 3 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $16.74 average per unit
Reimbursement
$83.71 total reimbursement
5$83.71$16.74
97016 x 1 (No Assistant), 97110 x 2 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $17.72 average per unit
Reimbursement
$88.59 total reimbursement
5$88.59$17.72
97016 x 1 (Assistant), 97110 x 1 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant)
Units
5 units @ $18.10 average per unit
Reimbursement
$90.49 total reimbursement
5$90.49$18.10
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
6 units @ $20.77 average per unit
Reimbursement
$124.63 total reimbursement
6$124.63$20.77
97110 x 1 (Assistant), 97150 x 1 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $18.43 average per unit
Reimbursement
$55.28 total reimbursement
3$55.28$18.43
97110 x 1 (Assistant), 97530 x 1 (Assistant), 97535 x 1 (Assistant)
Units
3 units @ $21.50 average per unit
Reimbursement
$64.51 total reimbursement
3$64.51$21.50
97110 x 1 (Assistant), 97116 x 1 (Assistant)
Units
2 units @ $19.83 average per unit
Reimbursement
$39.66 total reimbursement
2$39.66$19.83
97110 x 1 (Assistant), 97112 x 1 (Assistant)
Units
2 units @ $21.81 average per unit
Reimbursement
$43.62 total reimbursement
2$43.62$21.81
97110 x 1 (Assistant), 97116 x 1 (Assistant), 97150 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $16.39 average per unit
Reimbursement
$81.93 total reimbursement
5$81.93$16.39
97110 x 1 (Assistant), 97535 x 1 (Assistant)
Units
2 units @ $20.29 average per unit
Reimbursement
$40.57 total reimbursement
2$40.57$20.29
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 2 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $19.39 average per unit
Reimbursement
$96.96 total reimbursement
5$96.96$19.39
97016 x 1 (No Assistant), 97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $18.17 average per unit
Reimbursement
$90.87 total reimbursement
5$90.87$18.17
97016 x 1 (Assistant), 97110 x 2 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant)
Units
5 units @ $17.56 average per unit
Reimbursement
$87.79 total reimbursement
5$87.79$17.56
97012 x 1 (Assistant), 97110 x 2 (Assistant), G0283 x 1 (Assistant)
Units
4 units @ $14.34 average per unit
Reimbursement
$57.38 total reimbursement
4$57.38$14.34
97012 x 1 (No Assistant), 97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (No Assistant)
Units
6 units @ $16.56 average per unit
Reimbursement
$99.36 total reimbursement
6$99.36$16.56
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 2 (Assistant), 97750 x 1 (Assistant)
Units
5 units @ $20.57 average per unit
Reimbursement
$102.84 total reimbursement
5$102.84$20.57
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97140 x 1 (Assistant)
Units
4 units @ $19.89 average per unit
Reimbursement
$79.56 total reimbursement
4$79.56$19.89
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97530 x 3 (Assistant)
Units
6 units @ $20.52 average per unit
Reimbursement
$123.10 total reimbursement
6$123.10$20.52
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $23.73 average per unit
Reimbursement
$94.90 total reimbursement
4$94.90$23.73
97110 x 1 (Assistant), 97112 x 2 (Assistant), G0283 x 1 (Assistant)
Units
4 units @ $17.64 average per unit
Reimbursement
$70.55 total reimbursement
4$70.55$17.64
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 2 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $18.45 average per unit
Reimbursement
$110.67 total reimbursement
6$110.67$18.45
97112 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (No Assistant)
Units
3 units @ $18.39 average per unit
Reimbursement
$55.18 total reimbursement
3$55.18$18.39
97110 x 3 (Assistant), 97530 x 2 (Assistant), 97535 x 1 (Assistant)
Units
6 units @ $19.26 average per unit
Reimbursement
$115.57 total reimbursement
6$115.57$19.26
97110 x 2 (No Assistant), G0283 x 1 (No Assistant)
Units
3 units @ $18.37 average per unit
Reimbursement
$55.12 total reimbursement
3$55.12$18.37
97110 x 2 (No Assistant), 97140 x 2 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $18.54 average per unit
Reimbursement
$92.70 total reimbursement
5$92.70$18.54
97110 x 2 (No Assistant), 97161 x 1 (No Assistant), 97530 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
5 units @ $34.95 average per unit
Reimbursement
$174.77 total reimbursement
5$174.77$34.95
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97530 x 2 (No Assistant), G0283 x 1 (No Assistant)
Units
6 units @ $20.69 average per unit
Reimbursement
$124.14 total reimbursement
6$124.14$20.69
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97161 x 1 (No Assistant), 97530 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
6 units @ $31.78 average per unit
Reimbursement
$190.68 total reimbursement
6$190.68$31.78
97110 x 1 (No Assistant), 97165 x 1 (No Assistant), 97530 x 1 (No Assistant), 97535 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $33.03 average per unit
Reimbursement
$165.14 total reimbursement
5$165.14$33.03
97110 x 2 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $20.72 average per unit
Reimbursement
$82.87 total reimbursement
4$82.87$20.72
97110 x 2 (No Assistant), 97112 x 2 (No Assistant)
Units
4 units @ $22.99 average per unit
Reimbursement
$91.94 total reimbursement
4$91.94$22.99
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97150 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $16.05 average per unit
Reimbursement
$80.23 total reimbursement
5$80.23$16.05
97165 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
2 units @ $56.66 average per unit
Reimbursement
$113.31 total reimbursement
2$113.31$56.66
97161 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
2 units @ $49.01 average per unit
Reimbursement
$98.02 total reimbursement
2$98.02$49.01
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), 97535 x 1 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $17.94 average per unit
Reimbursement
$107.62 total reimbursement
6$107.62$17.94
97110 x 2 (Assistant), 97112 x 1 (No Assistant), 97530 x 2 (Assistant)
Units
5 units @ $20.88 average per unit
Reimbursement
$104.39 total reimbursement
5$104.39$20.88
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $22.21 average per unit
Reimbursement
$88.82 total reimbursement
4$88.82$22.21
97110 x 2 (No Assistant), 97116 x 1 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $20.15 average per unit
Reimbursement
$100.74 total reimbursement
5$100.74$20.15
97110 x 3 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $17.73 average per unit
Reimbursement
$106.41 total reimbursement
6$106.41$17.73
97110 x 3 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
6 units @ $20.01 average per unit
Reimbursement
$120.07 total reimbursement
6$120.07$20.01
97110 x 3 (No Assistant), 97112 x 2 (No Assistant), G0283 x 1 (No Assistant)
Units
6 units @ $19.15 average per unit
Reimbursement
$114.90 total reimbursement
6$114.90$19.15
97110 x 2 (Assistant), 97112 x 1 (Assistant), G0283 x 1 (Assistant)
Units
4 units @ $17.18 average per unit
Reimbursement
$68.74 total reimbursement
4$68.74$17.18
97035 x 1 (No Assistant), 97110 x 2 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $18.92 average per unit
Reimbursement
$75.68 total reimbursement
4$75.68$18.92
97035 x 1 (Assistant), 97110 x 2 (Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $14.53 average per unit
Reimbursement
$58.11 total reimbursement
4$58.11$14.53
97035 x 1 (Assistant), 97110 x 1 (Assistant), 97530 x 2 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $16.27 average per unit
Reimbursement
$81.34 total reimbursement
5$81.34$16.27
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97150 x 1 (Assistant), G0283 x 1 (Assistant)
Units
4 units @ $15.58 average per unit
Reimbursement
$62.30 total reimbursement
4$62.30$15.58
97012 x 1 (Assistant), 97110 x 3 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $14.22 average per unit
Reimbursement
$71.12 total reimbursement
5$71.12$14.22
97012 x 1 (No Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $15.12 average per unit
Reimbursement
$60.47 total reimbursement
4$60.47$15.12
97012 x 1 (Assistant), 97110 x 1 (Assistant), 97112 x 2 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
6 units @ $18.60 average per unit
Reimbursement
$111.58 total reimbursement
6$111.58$18.60
95992 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
2 units @ $33.39 average per unit
Reimbursement
$66.78 total reimbursement
2$66.78$33.39
97016 x 1 (Assistant), 97110 x 2 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $15.60 average per unit
Reimbursement
$78.00 total reimbursement
5$78.00$15.60
97016 x 1 (No Assistant), 97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $16.40 average per unit
Reimbursement
$82.02 total reimbursement
5$82.02$16.40
97110 x 3 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $22.91 average per unit
Reimbursement
$91.62 total reimbursement
4$91.62$22.91
97110 x 1 (No Assistant), 97116 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $23.21 average per unit
Reimbursement
$92.84 total reimbursement
4$92.84$23.21
97110 x 1 (Assistant), 97530 x 2 (Assistant)
Units
3 units @ $21.77 average per unit
Reimbursement
$65.31 total reimbursement
3$65.31$21.77
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97150 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $18.02 average per unit
Reimbursement
$90.08 total reimbursement
5$90.08$18.02
97110 x 2 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $19.93 average per unit
Reimbursement
$99.63 total reimbursement
5$99.63$19.93
97110 x 2 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
4 units @ $17.51 average per unit
Reimbursement
$70.02 total reimbursement
4$70.02$17.51
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $19.61 average per unit
Reimbursement
$78.44 total reimbursement
4$78.44$19.61
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $18.45 average per unit
Reimbursement
$73.80 total reimbursement
4$73.80$18.45
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97116 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
5 units @ $22.87 average per unit
Reimbursement
$114.37 total reimbursement
5$114.37$22.87
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 3 (Assistant)
Units
5 units @ $20.97 average per unit
Reimbursement
$104.84 total reimbursement
5$104.84$20.97
97110 x 2 (Assistant), 97112 x 1 (Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $17.53 average per unit
Reimbursement
$70.11 total reimbursement
4$70.11$17.53
97110 x 2 (Assistant), 97530 x 2 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $17.99 average per unit
Reimbursement
$89.93 total reimbursement
5$89.93$17.99
97112 x 1 (Assistant), 97530 x 1 (Assistant)
Units
2 units @ $23.68 average per unit
Reimbursement
$47.37 total reimbursement
2$47.37$23.68
97110 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $21.04 average per unit
Reimbursement
$63.13 total reimbursement
3$63.13$21.04
97110 x 3 (Assistant), 97112 x 1 (Assistant)
Units
4 units @ $19.89 average per unit
Reimbursement
$79.54 total reimbursement
4$79.54$19.89
97110 x 3 (Assistant), 97112 x 2 (Assistant)
Units
5 units @ $19.24 average per unit
Reimbursement
$96.19 total reimbursement
5$96.19$19.24
97110 x 2 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $22.81 average per unit
Reimbursement
$91.23 total reimbursement
4$91.23$22.81
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
5 units @ $23.00 average per unit
Reimbursement
$115.02 total reimbursement
5$115.02$23.00
97110 x 2 (Assistant), 97140 x 1 (Assistant), 97530 x 2 (Assistant)
Units
5 units @ $19.87 average per unit
Reimbursement
$99.36 total reimbursement
5$99.36$19.87
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
4 units @ $18.08 average per unit
Reimbursement
$72.34 total reimbursement
4$72.34$18.08
97110 x 2 (Assistant), 97112 x 2 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $17.63 average per unit
Reimbursement
$105.80 total reimbursement
6$105.80$17.63
97110 x 2 (No Assistant), 97530 x 3 (No Assistant)
Units
5 units @ $23.42 average per unit
Reimbursement
$117.09 total reimbursement
5$117.09$23.42
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $17.94 average per unit
Reimbursement
$89.69 total reimbursement
5$89.69$17.94
97110 x 2 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $20.03 average per unit
Reimbursement
$80.13 total reimbursement
4$80.13$20.03
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $19.78 average per unit
Reimbursement
$79.12 total reimbursement
4$79.12$19.78
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $17.94 average per unit
Reimbursement
$89.70 total reimbursement
5$89.70$17.94
97110 x 2 (Assistant), 97112 x 2 (Assistant), 97530 x 2 (Assistant)
Units
6 units @ $20.32 average per unit
Reimbursement
$121.90 total reimbursement
6$121.90$20.32
97110 x 3 (No Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $18.86 average per unit
Reimbursement
$75.43 total reimbursement
4$75.43$18.86
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 2 (Assistant)
Units
5 units @ $20.09 average per unit
Reimbursement
$100.47 total reimbursement
5$100.47$20.09
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $17.75 average per unit
Reimbursement
$106.53 total reimbursement
6$106.53$17.75
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $17.56 average per unit
Reimbursement
$105.34 total reimbursement
6$105.34$17.56
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $24.60 average per unit
Reimbursement
$73.80 total reimbursement
3$73.80$24.60
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 2 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $20.38 average per unit
Reimbursement
$101.89 total reimbursement
5$101.89$20.38
97110 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $23.56 average per unit
Reimbursement
$94.25 total reimbursement
4$94.25$23.56
97110 x 2 (No Assistant), 97140 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $18.60 average per unit
Reimbursement
$74.38 total reimbursement
4$74.38$18.60
97110 x 2 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $20.00 average per unit
Reimbursement
$80.01 total reimbursement
4$80.01$20.00
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant)
Units
5 units @ $20.49 average per unit
Reimbursement
$102.46 total reimbursement
5$102.46$20.49
97110 x 2 (No Assistant), 97112 x 2 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $19.98 average per unit
Reimbursement
$99.91 total reimbursement
5$99.91$19.98
97110 x 2 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $17.72 average per unit
Reimbursement
$88.59 total reimbursement
5$88.59$17.72
97110 x 2 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $20.98 average per unit
Reimbursement
$62.94 total reimbursement
3$62.94$20.98
97110 x 2 (Assistant), 97112 x 2 (Assistant)
Units
4 units @ $19.68 average per unit
Reimbursement
$78.74 total reimbursement
4$78.74$19.68
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $17.95 average per unit
Reimbursement
$89.74 total reimbursement
5$89.74$17.95
97110 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
4 units @ $17.30 average per unit
Reimbursement
$69.20 total reimbursement
4$69.20$17.30
97110 x 2 (Assistant), 97140 x 1 (Assistant), G0283 x 1 (Assistant)
Units
4 units @ $16.39 average per unit
Reimbursement
$65.54 total reimbursement
4$65.54$16.39
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $20.66 average per unit
Reimbursement
$82.63 total reimbursement
4$82.63$20.66
97110 x 3 (No Assistant)
Units
3 units @ $22.30 average per unit
Reimbursement
$66.90 total reimbursement
3$66.90$22.30
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $20.60 average per unit
Reimbursement
$103.02 total reimbursement
5$103.02$20.60
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $20.55 average per unit
Reimbursement
$82.19 total reimbursement
4$82.19$20.55
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $20.32 average per unit
Reimbursement
$81.26 total reimbursement
4$81.26$20.32
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 2 (Assistant)
Units
5 units @ $20.40 average per unit
Reimbursement
$101.99 total reimbursement
5$101.99$20.40
97110 x 2 (No Assistant), 97530 x 2 (No Assistant), 97535 x 1 (No Assistant)
Units
5 units @ $23.26 average per unit
Reimbursement
$116.29 total reimbursement
5$116.29$23.26
97110 x 2 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $20.06 average per unit
Reimbursement
$80.25 total reimbursement
4$80.25$20.06
92507 x 1 (No Assistant)
Units
1 units @ $68.45 average per unit
Reimbursement
$68.45 total reimbursement
1$68.45$68.45
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $24.00 average per unit
Reimbursement
$96.00 total reimbursement
4$96.00$24.00
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), 97535 x 1 (Assistant)
Units
4 units @ $21.04 average per unit
Reimbursement
$84.17 total reimbursement
4$84.17$21.04
97110 x 2 (Assistant), 97112 x 2 (Assistant), 97530 x 1 (Assistant)
Units
5 units @ $20.32 average per unit
Reimbursement
$101.61 total reimbursement
5$101.61$20.32
97110 x 2 (Assistant), 97116 x 1 (Assistant), 97530 x 2 (Assistant)
Units
5 units @ $19.36 average per unit
Reimbursement
$96.78 total reimbursement
5$96.78$19.36
97110 x 2 (No Assistant), 97116 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
5 units @ $22.79 average per unit
Reimbursement
$113.93 total reimbursement
5$113.93$22.79
97110 x 2 (Assistant), 97140 x 1 (Assistant), 97530 x 2 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $17.88 average per unit
Reimbursement
$107.27 total reimbursement
6$107.27$17.88
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $18.43 average per unit
Reimbursement
$92.16 total reimbursement
5$92.16$18.43
97110 x 3 (No Assistant), 97140 x 1 (No Assistant), G0283 x 1 (No Assistant)
Units
5 units @ $18.94 average per unit
Reimbursement
$94.70 total reimbursement
5$94.70$18.94
97110 x 3 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $21.58 average per unit
Reimbursement
$86.33 total reimbursement
4$86.33$21.58
97110 x 2 (No Assistant), 97140 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
5 units @ $22.78 average per unit
Reimbursement
$113.88 total reimbursement
5$113.88$22.78
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97116 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $22.96 average per unit
Reimbursement
$91.82 total reimbursement
4$91.82$22.96
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $16.99 average per unit
Reimbursement
$84.93 total reimbursement
5$84.93$16.99
97161 x 1 (No Assistant), 97535 x 1 (No Assistant)
Units
2 units @ $54.75 average per unit
Reimbursement
$109.51 total reimbursement
2$109.51$54.75
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $21.13 average per unit
Reimbursement
$84.50 total reimbursement
4$84.50$21.13
97110 x 2 (Assistant), 97112 x 2 (Assistant), 97140 x 1 (Assistant)
Units
5 units @ $19.66 average per unit
Reimbursement
$98.28 total reimbursement
5$98.28$19.66
97110 x 2 (Assistant), 97112 x 1 (Assistant)
Units
3 units @ $20.04 average per unit
Reimbursement
$60.13 total reimbursement
3$60.13$20.04
97016 x 1 (Assistant), 97110 x 1 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $16.33 average per unit
Reimbursement
$97.96 total reimbursement
6$97.96$16.33
97012 x 1 (Assistant), 97110 x 2 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $16.14 average per unit
Reimbursement
$96.83 total reimbursement
6$96.83$16.14
97110 x 4 (No Assistant)
Units
4 units @ $21.46 average per unit
Reimbursement
$85.83 total reimbursement
4$85.83$21.46
97110 x 2 (Assistant), 97116 x 1 (Assistant), 97530 x 2 (Assistant), G0283 x 1 (Assistant)
Units
6 units @ $17.87 average per unit
Reimbursement
$107.19 total reimbursement
6$107.19$17.87
97110 x 2 (Assistant), 97140 x 2 (Assistant), G0283 x 1 (Assistant)
Units
5 units @ $16.39 average per unit
Reimbursement
$81.95 total reimbursement
5$81.95$16.39
97110 x 1 (Assistant), 97530 x 2 (Assistant), G0283 x 1 (Assistant)
Units
4 units @ $18.05 average per unit
Reimbursement
$72.22 total reimbursement
4$72.22$18.05
97110 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $20.57 average per unit
Reimbursement
$82.30 total reimbursement
4$82.30$20.57
97035 x 1 (No Assistant), 97110 x 2 (No Assistant), G0283 x 1 (No Assistant)
Units
4 units @ $16.22 average per unit
Reimbursement
$64.87 total reimbursement
4$64.87$16.22

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Ambetter

$222.47

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paid in 33 days
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Medicaid of Arkansas

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CPT copyright 2024 American Medical Association.

All rights reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

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