| Code | Description | Claims | Beneficiaries | Total Paid |
| 82043 |
|
114 |
114 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
518 |
493 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
137 |
136 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
209 |
209 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$0.00 |
| 94760 |
|
117 |
110 |
$0.00 |
| 90674 |
|
26 |
26 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
28 |
$0.00 |
| 82570 |
|
57 |
57 |
$0.00 |
| 99499 |
|
46 |
39 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |