| Code | Description | Claims | Beneficiaries | Total Paid |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
580 |
572 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
86 |
83 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
16 |
$1K |
| 86580 |
|
12 |
12 |
$65.67 |
| 90686 |
|
210 |
208 |
$21.52 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.05 |
| 90734 |
|
19 |
19 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90656 |
|
18 |
18 |
$0.00 |
| 90651 |
|
18 |
17 |
$0.00 |