| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
923 |
921 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
672 |
651 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
390 |
376 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
161 |
161 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
201 |
192 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
492 |
491 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$871.86 |
| 90648 |
|
71 |
71 |
$631.23 |
| 90686 |
|
368 |
368 |
$495.96 |
| 90670 |
|
123 |
123 |
$0.00 |
| 90474 |
|
40 |
40 |
$0.00 |
| 90680 |
|
40 |
40 |
$0.00 |
| 90723 |
|
44 |
44 |
$0.00 |