| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management, each 15 minutes |
49,529 |
13,004 |
$2.64M |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
5,314 |
3,044 |
$537K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,087 |
1,625 |
$65K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
83 |
83 |
$6K |
| T2025 |
Waiver services; not otherwise specified (nos) |
16 |
16 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
381 |
375 |
$3K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
127 |
41 |
$1K |
| 36416 |
|
674 |
650 |
$1K |
| 96127 |
|
315 |
305 |
$836.24 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
12 |
12 |
$244.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$193.84 |
| 99173 |
|
12 |
12 |
$18.20 |
| X5622 |
|
13 |
13 |
$0.00 |