| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,630 |
2,383 |
$70K |
| 90651 |
|
323 |
292 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,053 |
981 |
$19K |
| T1016 |
Case management, each 15 minutes |
513 |
303 |
$18K |
| 90686 |
|
1,476 |
1,379 |
$13K |
| 90715 |
|
547 |
502 |
$7K |
| 91320 |
|
62 |
62 |
$6K |
| 90710 |
|
89 |
84 |
$5K |
| 90682 |
|
123 |
119 |
$5K |
| 90734 |
|
170 |
151 |
$4K |
| 90480 |
|
148 |
126 |
$4K |
| 90670 |
|
54 |
51 |
$3K |
| 90461 |
|
164 |
140 |
$3K |
| 90707 |
|
29 |
28 |
$1K |
| 90696 |
|
56 |
55 |
$980.08 |
| 90673 |
|
22 |
22 |
$744.51 |
| 90656 |
|
43 |
43 |
$648.02 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
31 |
30 |
$503.88 |
| 90619 |
|
12 |
12 |
$480.54 |
| 90633 |
|
74 |
65 |
$475.60 |
| 90713 |
|
37 |
35 |
$372.78 |
| 90723 |
|
14 |
14 |
$138.00 |
| 86580 |
|
15 |
13 |
$104.31 |
| 90647 |
|
12 |
12 |
$48.00 |
| G0008 |
Administration of influenza virus vaccine |
30 |
29 |
$40.00 |