| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99460 |
|
57 |
45 |
$3K |
| 54150 |
|
25 |
16 |
$2K |
| 99463 |
|
16 |
16 |
$998.25 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
27 |
$983.59 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
14 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49 |
49 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
16 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
104 |
88 |
$0.00 |