| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,428 |
3,786 |
$136K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
295 |
284 |
$23K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
197 |
193 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
137 |
135 |
$2K |
| 90674 |
|
74 |
74 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
62 |
62 |
$1K |
| 90688 |
|
153 |
150 |
$679.70 |
| 90651 |
|
161 |
160 |
$457.66 |
| 90715 |
|
217 |
212 |
$273.72 |
| 90670 |
|
1,291 |
1,236 |
$249.63 |
| 90707 |
|
27 |
27 |
$233.68 |
| 90734 |
|
378 |
372 |
$166.29 |
| 90632 |
|
131 |
123 |
$121.75 |
| 90633 |
|
432 |
426 |
$101.29 |
| 90698 |
|
811 |
801 |
$61.24 |
| 90686 |
|
374 |
369 |
$60.51 |
| 90744 |
|
378 |
376 |
$44.31 |
| 90680 |
|
507 |
503 |
$41.44 |
| 90700 |
|
66 |
66 |
$15.17 |
| 90648 |
|
29 |
29 |
$0.18 |
| 90685 |
|
26 |
26 |
$0.17 |
| 90713 |
|
26 |
26 |
$0.13 |
| 90696 |
|
24 |
24 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90677 |
|
26 |
26 |
$0.00 |
| 90710 |
|
57 |
57 |
$0.00 |