| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
258 |
251 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
186 |
180 |
$9K |
| 90686 |
|
55 |
55 |
$702.21 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
37 |
$574.24 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$559.85 |