| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
560 |
477 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
320 |
292 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98 |
91 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
38 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
135 |
109 |
$1K |
| 90686 |
|
165 |
152 |
$823.33 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |