| Code | Description | Claims | Beneficiaries | Total Paid |
| 36415 |
Collection of venous blood by venipuncture |
388 |
383 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
209 |
196 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
25 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
195 |
194 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
286 |
285 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
38 |
37 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
49 |
47 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |
| 36416 |
|
28 |
28 |
$0.00 |
| 96160 |
|
460 |
458 |
$0.00 |
| 99173 |
|
113 |
112 |
$0.00 |
| 85014 |
|
29 |
29 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
84 |
83 |
$0.00 |
| G9920 |
Screening performed and negative |
18 |
18 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 92552 |
|
117 |
116 |
$0.00 |
| 80061 |
Lipid panel |
37 |
36 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
184 |
122 |
$0.00 |
| 81003 |
|
192 |
182 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| 90461 |
|
99 |
96 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
30 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |