| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,199 |
1,107 |
$21K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
262 |
233 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
40 |
$3K |
| 92552 |
|
33 |
33 |
$504.24 |
| 99173 |
|
56 |
55 |
$275.00 |
| 90688 |
|
16 |
15 |
$53.52 |
| 90686 |
|
229 |
221 |
$42.06 |
| 90658 |
|
58 |
57 |
$9.00 |
| 90657 |
|
31 |
31 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |