| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
823 |
816 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
335 |
324 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
577 |
524 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
281 |
281 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
118 |
85 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
546 |
534 |
$3K |
| 90670 |
|
251 |
249 |
$2K |
| 90647 |
|
49 |
49 |
$647.52 |
| 90686 |
|
149 |
146 |
$165.65 |
| 90474 |
|
38 |
38 |
$0.00 |
| 90680 |
|
51 |
51 |
$0.00 |
| 90723 |
|
78 |
78 |
$0.00 |