| Code | Description | Claims | Beneficiaries | Total Paid |
| 90670 |
|
92 |
92 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
407 |
407 |
$0.00 |
| 3078F |
|
366 |
337 |
$0.00 |
| 99442 |
|
142 |
134 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
223 |
222 |
$0.00 |
| 90700 |
|
29 |
29 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
375 |
372 |
$0.00 |
| 90648 |
|
116 |
116 |
$0.00 |
| G9920 |
Screening performed and negative |
73 |
73 |
$0.00 |
| 90633 |
|
114 |
114 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
90 |
87 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| 85027 |
|
24 |
24 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
305 |
290 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
482 |
467 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
701 |
691 |
$0.00 |
| 3074F |
|
378 |
348 |
$0.00 |
| 96161 |
|
65 |
65 |
$0.00 |
| 90686 |
|
24 |
24 |
$0.00 |
| 90677 |
|
30 |
30 |
$0.00 |
| 90723 |
|
29 |
29 |
$0.00 |
| 1111F |
|
146 |
134 |
$0.00 |
| 90656 |
|
33 |
33 |
$0.00 |