| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
669 |
650 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
406 |
386 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
294 |
262 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
151 |
149 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
292 |
279 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$962.55 |
| 90474 |
|
12 |
12 |
$605.75 |
| 90686 |
|
220 |
216 |
$472.15 |
| 90723 |
|
25 |
25 |
$0.00 |
| 90647 |
|
25 |
25 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90670 |
|
69 |
67 |
$0.00 |