| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
906 |
905 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
195 |
191 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
399 |
377 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
195 |
195 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
531 |
529 |
$5K |
| 90670 |
|
206 |
204 |
$2K |
| 90647 |
|
41 |
41 |
$640.43 |
| 90686 |
|
350 |
348 |
$504.11 |
| 99188 |
|
27 |
27 |
$210.30 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90474 |
|
36 |
36 |
$0.00 |
| 90680 |
|
38 |
36 |
$0.00 |
| 90723 |
|
63 |
61 |
$0.00 |