| 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 |
2,305 |
2,297 |
$277K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
32 |
$860.00 |
| 90686 |
|
98 |
97 |
$286.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$135.38 |
| 0003A |
|
26 |
26 |
$0.00 |
| 91300 |
|
26 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
63 |
62 |
$0.00 |