| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,110 |
2,894 |
$99K |
| 90461 |
|
1,310 |
1,267 |
$15K |
| 91322 |
|
102 |
79 |
$7K |
| 90686 |
|
1,445 |
1,387 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
400 |
373 |
$4K |
| 0012A |
|
105 |
104 |
$4K |
| 0011A |
|
137 |
135 |
$3K |
| 90750 |
|
38 |
33 |
$3K |
| 90677 |
|
81 |
74 |
$3K |
| 90734 |
|
199 |
192 |
$3K |
| 0064A |
|
68 |
68 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
489 |
464 |
$2K |
| 90473 |
|
190 |
176 |
$2K |
| 90651 |
|
103 |
98 |
$2K |
| 90480 |
|
88 |
67 |
$986.53 |
| 0002A |
|
20 |
20 |
$800.00 |
| 0134A |
|
21 |
19 |
$720.00 |
| 0001A |
|
18 |
18 |
$720.00 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
40 |
40 |
$674.50 |
| 0124A |
|
19 |
17 |
$600.00 |
| 0072A |
|
13 |
13 |
$520.00 |
| 90656 |
|
60 |
57 |
$478.64 |
| 90670 |
|
806 |
775 |
$327.01 |
| G0008 |
Administration of influenza virus vaccine |
86 |
81 |
$300.31 |
| 90662 |
|
34 |
34 |
$295.00 |
| 90715 |
|
93 |
89 |
$246.19 |
| 90710 |
|
48 |
47 |
$238.55 |
| 90633 |
|
226 |
218 |
$237.81 |
| 90688 |
|
143 |
142 |
$58.50 |
| 90696 |
|
44 |
43 |
$53.52 |
| 90671 |
|
84 |
84 |
$0.37 |
| 90648 |
|
471 |
463 |
$0.00 |
| 91313 |
|
21 |
19 |
$0.00 |
| 90649 |
|
28 |
28 |
$0.00 |
| 90685 |
|
14 |
13 |
$0.00 |
| 91312 |
|
18 |
16 |
$0.00 |
| 90621 |
|
25 |
25 |
$0.00 |
| 91300 |
|
58 |
54 |
$0.00 |
| 90680 |
|
432 |
414 |
$0.00 |
| 90723 |
|
180 |
178 |
$0.00 |
| 90716 |
|
14 |
13 |
$0.00 |
| 91301 |
|
257 |
240 |
$0.00 |
| 91307 |
|
19 |
18 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 91306 |
|
68 |
68 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |