| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,361 |
4,302 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,286 |
1,265 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,132 |
1,115 |
$19K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,479 |
1,462 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
379 |
355 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
406 |
399 |
$5K |
| 90686 |
|
2,287 |
2,275 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
98 |
98 |
$3K |
| 0071A |
|
43 |
43 |
$1K |
| 0072A |
|
41 |
41 |
$1K |
| 90656 |
|
241 |
241 |
$792.24 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$230.07 |
| 36415 |
Collection of venous blood by venipuncture |
1,746 |
1,728 |
$168.40 |
| 90473 |
|
16 |
16 |
$142.92 |
| 90633 |
|
32 |
29 |
$24.00 |
| 91307 |
|
53 |
45 |
$0.21 |
| 90734 |
|
81 |
81 |
$0.00 |
| 90715 |
|
33 |
33 |
$0.00 |
| 90672 |
|
16 |
16 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90651 |
|
192 |
186 |
$0.00 |
| 90619 |
|
26 |
26 |
$0.00 |