| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,677 |
1,568 |
$68K |
| 90461 |
|
817 |
749 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
672 |
583 |
$22K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
79 |
77 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
95 |
84 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
34 |
$678.30 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$551.83 |
| 90686 |
|
216 |
211 |
$527.59 |
| 90670 |
|
54 |
52 |
$294.79 |
| 90633 |
|
109 |
107 |
$184.00 |
| 90715 |
|
38 |
35 |
$71.28 |
| 36416 |
|
52 |
52 |
$30.00 |
| 90651 |
|
94 |
91 |
$18.40 |
| 90734 |
|
42 |
40 |
$0.00 |