| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,457 |
1,430 |
$48K |
| 83655 |
|
169 |
169 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
35 |
$657.90 |
| 90651 |
|
148 |
146 |
$461.65 |
| 90715 |
|
214 |
211 |
$283.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$256.50 |
| 36416 |
|
169 |
169 |
$242.10 |
| 90632 |
|
15 |
15 |
$174.81 |
| 90734 |
|
517 |
507 |
$123.18 |
| 90660 |
|
14 |
14 |
$72.72 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$58.00 |
| 90686 |
|
44 |
44 |
$50.38 |
| 90670 |
|
203 |
198 |
$15.00 |
| 90648 |
|
211 |
206 |
$15.00 |
| 90633 |
|
130 |
128 |
$0.38 |
| 90461 |
|
380 |
372 |
$0.00 |
| 90710 |
|
80 |
78 |
$0.00 |
| 90658 |
|
17 |
16 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 90723 |
|
113 |
111 |
$0.00 |
| 90696 |
|
83 |
79 |
$0.00 |
| 90680 |
|
13 |
12 |
$0.00 |