| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,179 |
1,059 |
$0.00 |
| 90633 |
|
88 |
88 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
395 |
395 |
$0.00 |
| 80061 |
Lipid panel |
264 |
264 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
495 |
493 |
$0.00 |
| 90710 |
|
41 |
41 |
$0.00 |
| G9920 |
Screening performed and negative |
331 |
331 |
$0.00 |
| 99442 |
|
36 |
35 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$0.00 |
| 3078F |
|
448 |
432 |
$0.00 |
| 96160 |
|
17 |
17 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 83026 |
|
39 |
39 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
25 |
$0.00 |
| 3074F |
|
436 |
421 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
217 |
206 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,847 |
1,774 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,189 |
1,180 |
$0.00 |
| 3044F |
|
76 |
76 |
$0.00 |
| 90686 |
|
222 |
222 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
13 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
147 |
145 |
$0.00 |
| 90651 |
|
56 |
56 |
$0.00 |
| 90677 |
|
58 |
58 |
$0.00 |
| 96161 |
|
143 |
143 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
75 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
51 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
294 |
291 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
40 |
40 |
$0.00 |
| 90656 |
|
133 |
133 |
$0.00 |
| 1111F |
|
134 |
133 |
$0.00 |
| 85027 |
|
26 |
26 |
$0.00 |