The CPT codes in the range 90460–90474 found in the Medicine Section are used to report services provided by a physician when counseling the patient and/or family on any adverse effects related to immunization during the administration of a vaccine. Refer to the guidelines in the CPT coding manual for this range of codes. In your own words, briefly explain how these codes would be reported when a significant separately identifiable evaluation and management service is performed in the same visit as the vaccine administration.