| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,905 |
1,904 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
689 |
661 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
38 |
$4K |
| 90686 |
|
54 |
54 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$2K |
| 0072A |
|
12 |
12 |
$831.36 |
| 98966 |
|
31 |
29 |
$504.06 |
| 96127 |
|
26 |
26 |
$403.26 |
| 99051 |
|
13 |
13 |
$316.68 |
| 91307 |
|
14 |
14 |
$0.00 |