| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
100,730 |
87,484 |
$6.92M |
| 87428 |
|
167 |
164 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
352 |
272 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
19 |
$1K |
| 81001 |
|
143 |
138 |
$434.97 |
| 90686 |
|
30 |
30 |
$361.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$351.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$262.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$152.09 |
| 90734 |
|
12 |
12 |
$0.00 |