| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
260 |
258 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
48 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
111 |
56 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
38 |
38 |
$3K |
| 96127 |
|
112 |
111 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
41 |
$1K |