| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,239 |
3,064 |
$55K |
| 90651 |
|
219 |
201 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
747 |
698 |
$16K |
| 90686 |
|
1,592 |
1,549 |
$11K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
255 |
231 |
$5K |
| 90734 |
|
110 |
98 |
$4K |
| 90620 |
|
65 |
57 |
$4K |
| 90674 |
|
166 |
136 |
$3K |
| 0002A |
|
63 |
62 |
$2K |
| 90715 |
|
171 |
163 |
$2K |
| 90710 |
|
26 |
21 |
$2K |
| 0064A |
|
45 |
43 |
$2K |
| 0001A |
|
62 |
61 |
$2K |
| 91322 |
|
17 |
14 |
$1K |
| 0012A |
|
44 |
44 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
48 |
$813.36 |
| 0011A |
|
54 |
54 |
$768.00 |
| 90480 |
|
24 |
19 |
$696.00 |
| 90670 |
|
12 |
12 |
$524.00 |
| 0124A |
|
14 |
13 |
$520.00 |
| 0072A |
|
13 |
12 |
$480.00 |
| 90696 |
|
25 |
20 |
$433.71 |
| 90656 |
|
104 |
90 |
$349.77 |
| 90661 |
|
19 |
19 |
$248.24 |
| 90633 |
|
13 |
13 |
$244.40 |
| 91306 |
|
45 |
43 |
$0.00 |
| 91307 |
|
18 |
15 |
$0.00 |
| 91301 |
|
154 |
150 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |
| 91300 |
|
182 |
162 |
$0.00 |
| 91312 |
|
14 |
13 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
247 |
224 |
$0.00 |