| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
2,674 |
2,552 |
$1.19M |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
235 |
234 |
$54K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,526 |
3,309 |
$27K |
| 90686 |
|
1,420 |
1,390 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,310 |
1,198 |
$5K |
| 90649 |
|
45 |
45 |
$2K |
| 90651 |
|
112 |
109 |
$1K |
| 90633 |
|
152 |
141 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
14 |
$910.60 |
| 90734 |
|
151 |
148 |
$810.66 |
| 0001A |
|
55 |
55 |
$735.61 |
| T1017 |
Targeted case management, each 15 minutes |
36 |
34 |
$708.40 |
| 90715 |
|
227 |
218 |
$682.32 |
| 90480 |
|
12 |
12 |
$427.00 |
| 90656 |
|
104 |
104 |
$419.74 |
| 0002A |
|
25 |
25 |
$385.73 |
| 90696 |
|
27 |
27 |
$331.44 |
| 0012A |
|
13 |
13 |
$305.90 |
| 90685 |
|
20 |
20 |
$248.58 |
| 90710 |
|
148 |
127 |
$193.34 |
| 86580 |
|
18 |
18 |
$109.99 |
| 90670 |
|
34 |
34 |
$69.05 |
| 90682 |
|
21 |
20 |
$60.00 |
| 83655 |
|
23 |
16 |
$33.00 |
| 90688 |
|
44 |
39 |
$20.48 |
| 85018 |
|
41 |
26 |
$3.27 |
| 90619 |
|
53 |
51 |
$0.00 |
| 91307 |
|
38 |
38 |
$0.00 |