| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
532 |
530 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
462 |
446 |
$23K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
265 |
260 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
109 |
100 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| 90686 |
|
154 |
154 |
$693.54 |
| 90670 |
|
43 |
43 |
$0.00 |
| 90648 |
|
43 |
43 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90474 |
|
13 |
13 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |