| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
780 |
454 |
$10K |
| 0001A |
|
273 |
169 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
120 |
76 |
$8K |
| 0002A |
|
148 |
114 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
146 |
91 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
102 |
77 |
$2K |
| 0072A |
|
19 |
14 |
$975.00 |
| 92551 |
|
148 |
106 |
$890.69 |
| 0011A |
|
14 |
12 |
$780.00 |
| 0071A |
|
16 |
12 |
$728.90 |
| 36415 |
Collection of venous blood by venipuncture |
124 |
77 |
$304.83 |
| 87210 |
|
65 |
42 |
$266.66 |
| 82120 |
|
66 |
43 |
$263.89 |
| 90686 |
|
63 |
46 |
$130.00 |
| 99173 |
|
94 |
70 |
$12.00 |
| 91300 |
|
485 |
318 |
$0.00 |
| 90734 |
|
92 |
59 |
$0.00 |
| 99177 |
|
44 |
30 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
66 |
60 |
$0.00 |
| 91307 |
|
80 |
62 |
$0.00 |
| 90620 |
|
22 |
18 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
71 |
46 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |