| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
613 |
605 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
368 |
341 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
134 |
132 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
51 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
226 |
212 |
$936.53 |
| 90686 |
|
287 |
283 |
$362.57 |
| 90670 |
|
13 |
13 |
$0.00 |