| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,072 |
1,794 |
$60K |
| 90734 |
|
503 |
484 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
238 |
227 |
$9K |
| 90651 |
|
74 |
74 |
$9K |
| 90710 |
|
93 |
91 |
$7K |
| 90633 |
|
145 |
145 |
$5K |
| 80305 |
|
513 |
453 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
166 |
142 |
$3K |
| 90715 |
|
254 |
252 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
236 |
216 |
$3K |
| 90688 |
|
127 |
124 |
$2K |
| 90686 |
|
79 |
79 |
$809.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$804.07 |
| 81025 |
|
124 |
118 |
$658.30 |
| 90461 |
|
1,279 |
980 |
$170.00 |
| 90648 |
|
64 |
64 |
$45.00 |
| 90670 |
|
54 |
54 |
$30.00 |
| 90696 |
|
26 |
26 |
$0.00 |