| 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 |
3,667 |
3,651 |
$440K |
| 99349 |
|
308 |
237 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
509 |
484 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,029 |
931 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
225 |
203 |
$8K |
| H0049 |
Alcohol and/or drug screening |
309 |
298 |
$6K |
| 0002A |
|
74 |
74 |
$3K |
| 90688 |
|
131 |
127 |
$2K |
| 0001A |
|
34 |
34 |
$1K |
| 99408 |
|
108 |
91 |
$1K |
| 90651 |
|
269 |
228 |
$1K |
| 90686 |
|
119 |
102 |
$935.10 |
| 0124A |
|
67 |
55 |
$920.00 |
| 90480 |
|
27 |
27 |
$800.00 |
| 91320 |
|
18 |
18 |
$787.20 |
| 90682 |
|
22 |
21 |
$270.90 |
| 90656 |
|
58 |
58 |
$259.20 |
| 90715 |
|
620 |
555 |
$206.99 |
| 0004A |
|
65 |
64 |
$120.00 |
| 0003A |
|
14 |
14 |
$80.00 |
| 90633 |
|
109 |
89 |
$40.28 |
| G0008 |
Administration of influenza virus vaccine |
67 |
65 |
$0.00 |
| 90734 |
|
166 |
133 |
$0.00 |
| 91300 |
|
346 |
311 |
$0.00 |
| 90710 |
|
47 |
43 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |