| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
706 |
701 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
433 |
411 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
357 |
324 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
367 |
362 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50 |
50 |
$2K |
| 90686 |
|
221 |
220 |
$1K |
| 90670 |
|
100 |
99 |
$544.52 |
| 90647 |
|
13 |
12 |
$157.33 |
| 90474 |
|
24 |
24 |
$0.00 |
| 90723 |
|
26 |
25 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |