| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,097 |
1,052 |
$21K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
693 |
671 |
$15K |
| 90480 |
|
234 |
227 |
$13K |
| 91322 |
|
43 |
43 |
$6K |
| 90651 |
|
131 |
128 |
$4K |
| 91320 |
|
38 |
37 |
$3K |
| 90619 |
|
84 |
84 |
$2K |
| 90686 |
|
113 |
108 |
$1K |
| 90715 |
|
151 |
148 |
$584.24 |
| 90716 |
|
14 |
13 |
$511.98 |
| 90688 |
|
101 |
99 |
$192.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
16 |
$175.20 |
| 90656 |
|
26 |
26 |
$159.99 |
| 90474 |
|
12 |
12 |
$108.45 |
| 90660 |
|
17 |
13 |
$60.78 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
16 |
15 |
$46.40 |
| 90633 |
|
87 |
87 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 90672 |
|
19 |
16 |
$0.00 |