| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
586 |
579 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
379 |
355 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
77 |
68 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$1K |
| 90670 |
|
40 |
39 |
$666.34 |
| 90723 |
|
25 |
24 |
$631.23 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
237 |
235 |
$101.64 |
| 90686 |
|
193 |
189 |
$46.81 |
| 90648 |
|
54 |
53 |
$0.00 |