| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
57 |
44 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
153 |
100 |
$2K |
| 0011A |
|
35 |
34 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
62 |
44 |
$2K |
| 0002A |
|
29 |
25 |
$1K |
| 0071A |
|
16 |
16 |
$1K |
| 0064A |
|
22 |
15 |
$992.36 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
48 |
29 |
$707.72 |
| 90734 |
|
96 |
60 |
$384.94 |
| 36415 |
Collection of venous blood by venipuncture |
64 |
35 |
$99.18 |
| 87210 |
|
32 |
15 |
$82.86 |
| 82120 |
|
32 |
15 |
$81.69 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
36 |
18 |
$45.83 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
36 |
18 |
$45.82 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
39 |
20 |
$44.88 |
| 86592 |
|
39 |
20 |
$7.97 |
| 91300 |
|
83 |
59 |
$0.00 |
| 90715 |
|
33 |
22 |
$0.00 |
| 91301 |
|
41 |
39 |
$0.00 |
| 91306 |
|
22 |
15 |
$0.00 |
| 91307 |
|
39 |
28 |
$0.00 |