| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
309 |
303 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
168 |
147 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
603 |
564 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
359 |
346 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$1K |
| 90657 |
|
26 |
26 |
$0.00 |
| 90670 |
|
124 |
119 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |