| 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 |
960 |
960 |
$115K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
489 |
466 |
$14K |
| 90688 |
|
329 |
304 |
$690.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$110.00 |
| G0008 |
Administration of influenza virus vaccine |
39 |
35 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90461 |
|
36 |
35 |
$0.00 |
| 90658 |
|
25 |
23 |
$0.00 |