| Code | Description | Claims | Beneficiaries | Total Paid |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
1,004 |
1,002 |
$120K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
702 |
657 |
$36K |
| T2024 |
Service assessment/plan of care development, waiver |
144 |
142 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
133 |
130 |
$1K |
| 90686 |
|
303 |
283 |
$1K |
| 90715 |
|
52 |
52 |
$594.09 |
| 90461 |
|
140 |
128 |
$65.16 |
| 90670 |
|
27 |
25 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |