| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 90472 |
Immunization administration, each additional vaccine (list separately) |
622 |
549 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
971 |
887 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
145 |
136 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
46 |
38 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
349 |
246 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
12 |
$609.18 |
| 90651 |
|
32 |
29 |
$470.59 |
| 90686 |
|
148 |
135 |
$467.56 |
| 81025 |
|
22 |
16 |
$119.40 |
| 90715 |
|
15 |
14 |
$35.64 |
| 90620 |
|
46 |
42 |
$0.11 |
| 90734 |
|
100 |
82 |
$0.00 |
| 90633 |
|
14 |
12 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |