| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,446 |
2,421 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
879 |
844 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
627 |
623 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
536 |
532 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
386 |
368 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
218 |
218 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
60 |
52 |
$6K |
| 0071A |
|
43 |
43 |
$2K |
| 0072A |
|
28 |
28 |
$1K |
| 90480 |
|
12 |
12 |
$480.00 |
| 90461 |
|
359 |
322 |
$472.22 |
| 96160 |
|
218 |
212 |
$360.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$276.09 |
| 90686 |
|
1,149 |
1,119 |
$60.68 |
| 91307 |
|
58 |
58 |
$0.03 |
| 90685 |
|
13 |
13 |
$0.00 |