| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,753 |
5,494 |
$236K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,187 |
2,112 |
$31K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,306 |
1,258 |
$30K |
| 90686 |
|
2,479 |
2,391 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
293 |
290 |
$4K |
| 90651 |
|
396 |
390 |
$3K |
| 0012A |
|
56 |
56 |
$2K |
| 90715 |
|
337 |
328 |
$2K |
| 0011A |
|
68 |
67 |
$2K |
| 0001A |
|
15 |
15 |
$2K |
| 90716 |
|
1,074 |
1,020 |
$1K |
| 90670 |
|
2,481 |
2,381 |
$1K |
| 90707 |
|
1,043 |
992 |
$1K |
| 90698 |
|
2,119 |
2,006 |
$875.00 |
| 90677 |
|
339 |
314 |
$870.42 |
| 90633 |
|
1,516 |
1,457 |
$810.00 |
| 90744 |
|
1,332 |
1,272 |
$695.00 |
| 0124A |
|
15 |
15 |
$591.92 |
| 90680 |
|
1,100 |
1,040 |
$430.00 |
| 90656 |
|
100 |
97 |
$357.60 |
| 90619 |
|
230 |
227 |
$303.70 |
| 90685 |
|
76 |
74 |
$290.00 |
| 90734 |
|
309 |
305 |
$190.00 |
| 90700 |
|
136 |
132 |
$145.00 |
| 91301 |
|
137 |
134 |
$0.02 |
| 91300 |
|
59 |
58 |
$0.00 |
| 91312 |
|
15 |
15 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |
| 90648 |
|
40 |
39 |
$0.00 |
| 90696 |
|
44 |
44 |
$0.00 |