| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,876 |
1,643 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,962 |
2,511 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,372 |
1,883 |
$1K |
| 90700 |
|
922 |
780 |
$940.00 |
| 90461 |
|
65 |
13 |
$860.00 |
| 90651 |
|
649 |
559 |
$712.00 |
| 90713 |
|
685 |
576 |
$704.00 |
| 90716 |
|
497 |
411 |
$604.00 |
| 90686 |
|
662 |
619 |
$580.00 |
| 90707 |
|
474 |
392 |
$556.00 |
| 90733 |
|
480 |
418 |
$432.00 |
| 90670 |
|
451 |
388 |
$424.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,317 |
4,150 |
$380.00 |
| 90715 |
|
373 |
327 |
$376.00 |
| 90647 |
|
408 |
351 |
$360.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
87 |
27 |
$348.00 |
| 90633 |
|
214 |
185 |
$204.00 |
| 0012A |
|
16 |
16 |
$141.95 |
| 90620 |
|
98 |
73 |
$114.00 |
| 0011A |
|
19 |
19 |
$67.76 |
| 90744 |
|
76 |
64 |
$36.00 |
| 91301 |
|
37 |
37 |
$0.00 |
| 90621 |
|
48 |
43 |
$0.00 |