| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,433 |
3,497 |
$63K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,539 |
1,717 |
$53K |
| 99402 |
|
905 |
669 |
$48K |
| 99401 |
|
872 |
669 |
$26K |
| 90688 |
|
1,217 |
874 |
$6K |
| 90651 |
|
47 |
29 |
$3K |
| 90670 |
|
679 |
590 |
$3K |
| 90734 |
|
67 |
45 |
$2K |
| 99403 |
|
26 |
24 |
$2K |
| 99404 |
|
13 |
12 |
$1K |
| 90710 |
|
99 |
73 |
$1K |
| 90715 |
|
136 |
109 |
$906.86 |
| 90680 |
|
127 |
116 |
$500.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
56 |
$456.76 |
| 90658 |
|
64 |
59 |
$423.67 |
| 90648 |
|
615 |
540 |
$383.41 |
| 90723 |
|
269 |
229 |
$278.70 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
43 |
42 |
$273.26 |
| 90696 |
|
15 |
12 |
$185.91 |
| 90633 |
|
83 |
77 |
$70.98 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
58 |
58 |
$3.22 |
| 90677 |
|
50 |
27 |
$0.00 |
| 90473 |
|
96 |
90 |
$0.00 |