| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
44 |
$2K |
| 92551 |
|
52 |
52 |
$505.00 |
| 85018 |
|
63 |
63 |
$120.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
101 |
101 |
$8.84 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
64 |
63 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |