| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
200 |
174 |
$0.00 |
| 36416 |
|
51 |
49 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
72 |
68 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
59 |
57 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
61 |
59 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
29 |
$0.00 |
| 99000 |
|
107 |
95 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
16 |
16 |
$0.00 |
| 81002 |
|
35 |
29 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$0.00 |