| Code | Description | Claims | Beneficiaries | Total Paid |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
899 |
846 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
336 |
304 |
$6K |
| 90658 |
|
145 |
145 |
$804.75 |
| 90700 |
|
160 |
159 |
$134.06 |
| 90713 |
|
139 |
138 |
$112.52 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,498 |
2,425 |
$0.00 |
| 3008F |
|
29 |
29 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
130 |
121 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
112 |
111 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
56 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
44 |
$0.00 |
| 90707 |
|
33 |
33 |
$0.00 |