| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,093 |
1,083 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
386 |
362 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
488 |
487 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
364 |
354 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
634 |
624 |
$1K |
| 90686 |
|
377 |
374 |
$981.57 |
| 90648 |
|
257 |
257 |
$631.23 |
| 90680 |
|
100 |
100 |
$608.09 |
| 90474 |
|
99 |
99 |
$608.09 |
| 99188 |
|
29 |
29 |
$529.14 |
| 90670 |
|
226 |
225 |
$439.24 |
| 90723 |
|
103 |
103 |
$0.00 |
| 90633 |
|
28 |
27 |
$0.00 |
| 90685 |
|
84 |
84 |
$0.00 |