| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
345 |
331 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
407 |
383 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
39 |
$726.45 |
| 90686 |
|
96 |
96 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90474 |
|
12 |
12 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90670 |
|
16 |
15 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
58 |
55 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |