| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90750 |
|
1,137 |
1,136 |
$186K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,544 |
7,502 |
$83K |
| 90686 |
|
3,617 |
3,617 |
$40K |
| 90674 |
|
3,032 |
3,032 |
$34K |
| G0008 |
Administration of influenza virus vaccine |
2,176 |
2,174 |
$25K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
367 |
176 |
$12K |
| 0012A |
|
318 |
318 |
$12K |
| 0011A |
|
354 |
354 |
$12K |
| 90688 |
|
488 |
488 |
$5K |
| 0064A |
|
104 |
104 |
$4K |
| 0004A |
|
75 |
75 |
$3K |
| 0124A |
|
65 |
65 |
$2K |
| 90756 |
|
152 |
152 |
$2K |
| 0134A |
|
51 |
51 |
$2K |
| 0002A |
|
47 |
47 |
$2K |
| 0001A |
|
55 |
53 |
$2K |
| 90682 |
|
22 |
22 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
110 |
110 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
28 |
12 |
$1K |
| 0031A |
|
17 |
17 |
$668.39 |
| 90677 |
|
18 |
18 |
$198.00 |