| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,620 |
1,482 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
363 |
296 |
$7K |
| 99401 |
|
197 |
133 |
$5K |
| 90619 |
|
36 |
32 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
107 |
78 |
$4K |
| 90480 |
|
84 |
79 |
$3K |
| 91322 |
|
30 |
30 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$1K |
| 81025 |
|
130 |
98 |
$576.64 |
| 90656 |
|
53 |
53 |
$572.00 |
| 99000 |
|
205 |
183 |
$554.38 |
| 90686 |
|
130 |
126 |
$503.99 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$256.62 |
| 87210 |
|
12 |
12 |
$45.68 |
| 81003 |
|
15 |
15 |
$13.00 |