| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90677 |
|
113 |
113 |
$0.00 |
| 90686 |
|
175 |
175 |
$0.00 |
| 3074F |
|
295 |
284 |
$0.00 |
| 90656 |
|
56 |
56 |
$0.00 |
| 85018 |
|
32 |
32 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
302 |
280 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
455 |
445 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
652 |
648 |
$0.00 |
| 90723 |
|
54 |
54 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
25 |
$0.00 |
| 1111F |
|
116 |
114 |
$0.00 |
| 90716 |
|
26 |
26 |
$0.00 |
| 96161 |
|
13 |
13 |
$0.00 |
| 99441 |
|
25 |
24 |
$0.00 |
| 90633 |
|
73 |
73 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
190 |
190 |
$0.00 |
| 80061 |
Lipid panel |
28 |
28 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90670 |
|
61 |
61 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
353 |
352 |
$0.00 |
| 3078F |
|
300 |
287 |
$0.00 |
| 85014 |
|
32 |
32 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
142 |
142 |
$0.00 |
| 90648 |
|
152 |
152 |
$0.00 |
| G9920 |
Screening performed and negative |
57 |
57 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
31 |
$0.00 |