| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
579 |
576 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
439 |
427 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
100 |
96 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
31 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
260 |
252 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$2K |
| 90686 |
|
196 |
195 |
$753.13 |
| 90647 |
|
13 |
13 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90670 |
|
64 |
64 |
$0.00 |