| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
472 |
467 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
141 |
137 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
43 |
$697.10 |
| 90723 |
|
16 |
15 |
$557.30 |
| 90686 |
|
155 |
155 |
$294.44 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
146 |
145 |
$0.00 |
| 90670 |
|
31 |
30 |
$0.00 |
| 90648 |
|
17 |
16 |
$0.00 |
| 90680 |
|
17 |
16 |
$0.00 |
| 90474 |
|
15 |
15 |
$0.00 |