| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
267 |
262 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
202 |
191 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
65 |
$4K |
| 90686 |
|
43 |
43 |
$649.04 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
111 |
108 |
$263.59 |