| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,244 |
1,795 |
$103.66 |
| 3078F |
|
306 |
284 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
144 |
137 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 90658 |
|
15 |
15 |
$0.00 |
| 80061 |
Lipid panel |
27 |
27 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
24 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 99441 |
|
901 |
801 |
$0.00 |
| 3074F |
|
306 |
283 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
432 |
429 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
529 |
515 |
$0.00 |
| 90686 |
|
83 |
83 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
41 |
$0.00 |
| 90656 |
|
37 |
37 |
$0.00 |
| 85027 |
|
42 |
42 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
13 |
13 |
$0.00 |
| 1111F |
|
126 |
103 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$0.00 |