| Code | Description | Claims | Beneficiaries | Total Paid |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
29 |
29 |
$997.23 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
15 |
$654.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$488.72 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
17 |
$347.65 |