| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
63 |
49 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37 |
23 |
$0.00 |
| 92551 |
|
64 |
52 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
21 |
18 |
$0.00 |
| 90723 |
|
18 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
33 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
324 |
221 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
27 |
$0.00 |
| 90670 |
|
23 |
17 |
$0.00 |
| 83655 |
|
19 |
14 |
$0.00 |
| 90633 |
|
17 |
14 |
$0.00 |
| 99173 |
|
69 |
55 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
22 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
65 |
45 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
45 |
33 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
23 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
20 |
$0.00 |