| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99460 |
|
205 |
203 |
$18K |
| 99462 |
|
484 |
206 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
472 |
377 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
404 |
389 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
167 |
162 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
57 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
47 |
41 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
65 |
43 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
138 |
135 |
$2K |
| 90461 |
|
54 |
45 |
$913.48 |
| 3008F |
|
239 |
238 |
$730.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
12 |
$604.38 |
| S9470 |
Nutritional counseling, dietitian visit |
140 |
140 |
$451.00 |
| 90686 |
|
41 |
41 |
$283.11 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$119.48 |