| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90648 |
|
286 |
286 |
$0.00 |
| 3078F |
|
864 |
838 |
$0.00 |
| 80061 |
Lipid panel |
387 |
381 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
811 |
804 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,011 |
1,008 |
$0.00 |
| 90633 |
|
242 |
242 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,618 |
1,611 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,473 |
2,330 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
839 |
806 |
$0.00 |
| G9920 |
Screening performed and negative |
202 |
202 |
$0.00 |
| 91308 |
|
13 |
13 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
185 |
184 |
$0.00 |
| 90473 |
|
234 |
234 |
$0.00 |
| 90670 |
|
100 |
100 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$0.00 |
| 90700 |
|
27 |
27 |
$0.00 |
| 80076 |
|
25 |
24 |
$0.00 |
| 99442 |
|
12 |
12 |
$0.00 |
| 90661 |
|
39 |
39 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,768 |
2,687 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
501 |
500 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
247 |
240 |
$0.00 |
| 92567 |
|
50 |
50 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
121 |
120 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
653 |
637 |
$0.00 |
| 90723 |
|
73 |
73 |
$0.00 |
| 85027 |
|
1,360 |
1,350 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,105 |
2,092 |
$0.00 |
| 90677 |
|
182 |
182 |
$0.00 |
| 99443 |
|
29 |
29 |
$0.00 |
| 90656 |
|
142 |
142 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
27 |
25 |
$0.00 |
| 3044F |
|
40 |
40 |
$0.00 |
| 90686 |
|
382 |
381 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
14 |
$0.00 |
| 3074F |
|
872 |
847 |
$0.00 |
| 91317 |
|
31 |
31 |
$0.00 |
| 99441 |
|
33 |
31 |
$0.00 |
| 96161 |
|
121 |
121 |
$0.00 |
| 90674 |
|
30 |
30 |
$0.00 |
| 1111F |
|
368 |
357 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
120 |
120 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90716 |
|
28 |
28 |
$0.00 |