| 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 |
330 |
330 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
90 |
78 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
51 |
$582.68 |
| 90686 |
|
185 |
166 |
$344.83 |
| 0124A |
|
20 |
18 |
$40.00 |
| 91312 |
|
20 |
18 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
73 |
70 |
$0.00 |