| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,569 |
1,368 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
459 |
392 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
122 |
118 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
282 |
159 |
$3K |
| 90686 |
|
331 |
301 |
$2K |
| 86580 |
|
65 |
37 |
$346.92 |
| 90685 |
|
94 |
83 |
$21.46 |
| 90716 |
|
160 |
149 |
$0.00 |
| 90744 |
|
99 |
71 |
$0.00 |
| 90619 |
|
51 |
51 |
$0.00 |
| 90696 |
|
34 |
30 |
$0.00 |
| 90656 |
|
22 |
22 |
$0.00 |
| 90715 |
|
173 |
137 |
$0.00 |
| 90633 |
|
477 |
418 |
$0.00 |
| 90710 |
|
61 |
53 |
$0.00 |
| 90713 |
|
260 |
219 |
$0.00 |
| 90714 |
|
13 |
13 |
$0.00 |