| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
264 |
263 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
174 |
166 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
204 |
190 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
84 |
79 |
$2K |
| 90686 |
|
104 |
103 |
$815.89 |