| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
97 |
97 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$412.08 |
| 92551 |
|
38 |
38 |
$383.80 |
| 90685 |
|
42 |
42 |
$351.00 |
| 90700 |
|
38 |
38 |
$281.88 |
| 85018 |
|
95 |
95 |
$149.65 |
| 90674 |
|
13 |
13 |
$117.00 |
| 90713 |
|
12 |
12 |
$108.00 |
| 90658 |
|
27 |
27 |
$98.76 |
| 90633 |
|
13 |
13 |
$70.29 |
| 90670 |
|
12 |
12 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
40 |
40 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
45 |
45 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
65 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |