| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
515 |
492 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
363 |
340 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
91 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
98 |
84 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$484.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
841 |
798 |
$7.84 |
| 90744 |
|
63 |
63 |
$0.01 |
| 90670 |
|
347 |
333 |
$0.01 |
| 90698 |
|
199 |
192 |
$0.00 |
| 90680 |
|
159 |
154 |
$0.00 |
| 90686 |
|
110 |
106 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
918 |
546 |
$0.00 |
| 90461 |
|
81 |
29 |
$0.00 |
| 90633 |
|
17 |
17 |
$0.00 |
| 90473 |
|
71 |
58 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
163 |
53 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
62 |
58 |
$0.00 |