| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
693 |
683 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
616 |
584 |
$31K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
588 |
581 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
360 |
338 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
91 |
86 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
257 |
257 |
$5K |
| 90670 |
|
203 |
203 |
$2K |
| 90686 |
|
385 |
381 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$612.90 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90473 |
|
27 |
27 |
$0.00 |
| 90647 |
|
52 |
52 |
$0.00 |
| 90723 |
|
80 |
80 |
$0.00 |
| 90680 |
|
27 |
27 |
$0.00 |