| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,167 |
964 |
$9K |
| 99051 |
|
771 |
588 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
815 |
421 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
67 |
66 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
122 |
114 |
$4K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
34 |
32 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
12 |
$738.08 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
113 |
88 |
$398.36 |
| 90651 |
|
322 |
138 |
$211.09 |
| 90734 |
|
202 |
85 |
$148.93 |
| 90461 |
|
26 |
22 |
$112.00 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
13 |
$60.00 |
| 90633 |
|
148 |
77 |
$52.00 |
| 90686 |
|
109 |
44 |
$36.17 |
| 90656 |
|
42 |
12 |
$8.00 |
| 90670 |
|
16 |
15 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90621 |
|
75 |
16 |
$0.00 |
| 90715 |
|
61 |
15 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |