| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92552 |
|
732 |
732 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
120 |
120 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
692 |
686 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
89 |
$2K |
| 86580 |
|
648 |
648 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
85 |
85 |
$460.56 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$459.08 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,185 |
977 |
$387.38 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
74 |
74 |
$381.17 |
| 90658 |
|
237 |
236 |
$350.75 |
| 95930 |
|
552 |
552 |
$334.64 |
| 90651 |
|
12 |
12 |
$18.00 |