We study Aggregation Queries over Nearest Neighbors (AQNN), which compute aggregates over the learned representations of the neighborhood of a designated query object. For example, a medical professional may be interested in the average heart rate of patients whose representations are similar to that of an insomnia patient. Answering AQNNs accurately and efficiently is challenging due to the high cost of generating high-quality representations (e.g., via a deep learning model trained on human expert annotations) and the different sensitivities of different aggregation functions to neighbor selection errors. We address these challenges by combining high-quality and low-cost representations to approximate the aggregate. We characterize value- and count-sensitive AQNNs and propose the Sampler with Precision-Recall in Target (SPRinT), a query answering framework that works in three steps: (1) sampling, (2) nearest neighbor selection, and (3) aggregation. We further establish theoretical bounds on sample sizes and aggregation errors. Extensive experiments on five datasets from three domains (medical, social media, and e-commerce) demonstrate that SPRinT achieves the lowest aggregation error with minimal computation cost in most cases compared to existing solutions. SPRinT's performance remains stable as dataset size grows, confirming its scalability for large-scale applications requiring both accuracy and efficiency.