| Code | Description | Claims | Beneficiaries | Total Paid |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
8,477 |
1,574 |
$11K |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
8,336 |
1,525 |
$610.00 |
| 0124A |
|
96 |
51 |
$160.81 |
| 0004A |
|
33 |
22 |
$40.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
19 |
$7.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
39 |
13 |
$0.00 |
| 91300 |
|
35 |
25 |
$0.00 |
| 91312 |
|
100 |
51 |
$0.00 |
| 87428 |
|
35 |
31 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
24 |
21 |
$0.00 |
| 90674 |
|
54 |
41 |
$0.00 |