| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 1160F |
|
797 |
319 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
14 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
92 |
50 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
648 |
259 |
$0.00 |
| 96160 |
|
733 |
250 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
174 |
83 |
$0.00 |
| 3078F |
|
675 |
219 |
$0.00 |
| 90670 |
|
127 |
47 |
$0.00 |
| 1159F |
|
783 |
315 |
$0.00 |
| 99188 |
|
155 |
77 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
115 |
51 |
$0.00 |
| 99173 |
|
130 |
48 |
$0.00 |
| 3725F |
|
53 |
14 |
$0.00 |
| 90633 |
|
18 |
13 |
$0.00 |
| 99177 |
|
19 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
879 |
355 |
$0.00 |
| 1126F |
|
995 |
265 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,273 |
842 |
$0.00 |
| 1125F |
|
245 |
62 |
$0.00 |
| 99383 |
|
28 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,383 |
467 |
$0.00 |
| 3074F |
|
886 |
275 |
$0.00 |
| 96127 |
|
123 |
26 |
$0.00 |
| 3008F |
|
2,529 |
771 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
129 |
73 |
$0.00 |
| 92551 |
|
179 |
62 |
$0.00 |
| 1036F |
|
134 |
38 |
$0.00 |
| 90686 |
|
18 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
68 |
55 |
$0.00 |