| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,047 |
996 |
$19K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
284 |
262 |
$9K |
| 90686 |
|
372 |
360 |
$622.18 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
15 |
$375.00 |
| 90656 |
|
14 |
14 |
$19.77 |
| 90662 |
|
139 |
139 |
$0.00 |
| 90734 |
|
25 |
20 |
$0.00 |
| 90682 |
|
12 |
12 |
$0.00 |
| 91322 |
|
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
163 |
163 |
$0.00 |
| 90480 |
|
15 |
15 |
$0.00 |