| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90632 |
|
375 |
354 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
560 |
547 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
839 |
774 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
344 |
274 |
$12K |
| 0012A |
|
229 |
224 |
$6K |
| 0011A |
|
238 |
232 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
280 |
204 |
$5K |
| 90682 |
|
68 |
64 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
47 |
44 |
$3K |
| 90461 |
|
48 |
48 |
$3K |
| 99201 |
|
72 |
65 |
$3K |
| 86580 |
|
398 |
273 |
$2K |
| 0064A |
|
80 |
71 |
$2K |
| 0001A |
|
58 |
58 |
$2K |
| 0002A |
|
47 |
46 |
$2K |
| 90686 |
|
142 |
139 |
$1K |
| 0031A |
|
17 |
17 |
$680.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
54 |
45 |
$555.64 |
| 90633 |
|
293 |
285 |
$488.30 |
| 90715 |
|
30 |
26 |
$344.64 |
| 90734 |
|
60 |
57 |
$286.10 |
| 90651 |
|
21 |
20 |
$188.90 |
| 91301 |
|
266 |
245 |
$0.02 |
| G0008 |
Administration of influenza virus vaccine |
53 |
49 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |