| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
88 |
88 |
$3K |
| 92551 |
|
49 |
49 |
$494.90 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$480.76 |
| 90670 |
|
34 |
34 |
$306.00 |
| 90707 |
|
12 |
12 |
$167.29 |
| 90685 |
|
18 |
18 |
$162.00 |
| 99173 |
|
49 |
49 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
83 |
52 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
50 |
$0.00 |