| Code | Description | Claims | Beneficiaries | Total Paid |
| 36415 |
Collection of venous blood by venipuncture |
817 |
770 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
625 |
624 |
$0.00 |
| 90686 |
|
148 |
148 |
$0.00 |
| 90698 |
|
63 |
63 |
$0.00 |
| 90677 |
|
28 |
28 |
$0.00 |
| 96161 |
|
97 |
97 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
25 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90744 |
|
28 |
28 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
785 |
754 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
279 |
278 |
$0.00 |
| 90633 |
|
94 |
94 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
79 |
79 |
$0.00 |
| G9920 |
Screening performed and negative |
174 |
173 |
$0.00 |
| 90653 |
|
16 |
16 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
261 |
261 |
$0.00 |
| 83026 |
|
42 |
42 |
$0.00 |
| 99442 |
|
72 |
71 |
$0.00 |
| 80061 |
Lipid panel |
24 |
24 |
$0.00 |
| 90710 |
|
58 |
58 |
$0.00 |
| 90670 |
|
82 |
82 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.00 |