| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92552 |
|
48 |
48 |
$196.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
74 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
207 |
187 |
$0.00 |
| 90650 |
|
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
59 |
58 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |