| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
8,452 |
2,734 |
$543K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,103 |
3,046 |
$394K |
| T1002 |
Rn services, up to 15 minutes |
5,184 |
3,908 |
$105K |
| S0390 |
Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit |
3,400 |
3,367 |
$69K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,522 |
3,413 |
$58K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,936 |
1,458 |
$46K |
| 99188 |
|
725 |
696 |
$18K |
| 36416 |
|
2,586 |
2,223 |
$18K |
| 96127 |
|
2,318 |
2,272 |
$12K |
| 90480 |
|
214 |
205 |
$8K |
| 91322 |
|
63 |
63 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
678 |
660 |
$7K |
| 90686 |
|
1,284 |
1,244 |
$5K |
| 90651 |
|
299 |
296 |
$5K |
| 85018 |
|
1,941 |
1,899 |
$5K |
| 91320 |
|
41 |
40 |
$4K |
| D1206 |
Topical application of fluoride varnish |
146 |
144 |
$4K |
| 0001A |
|
66 |
61 |
$2K |
| 0124A |
|
38 |
38 |
$2K |
| 0054A |
|
65 |
54 |
$2K |
| 90656 |
|
144 |
143 |
$1K |
| 0051A |
|
51 |
50 |
$1K |
| 90715 |
|
131 |
129 |
$1K |
| 0004A |
|
14 |
12 |
$1K |
| 0071A |
|
58 |
58 |
$958.16 |
| 0002A |
|
37 |
36 |
$868.94 |
| 0052A |
|
35 |
35 |
$760.01 |
| 90674 |
|
70 |
70 |
$624.00 |
| 90734 |
|
178 |
178 |
$618.77 |
| 0064A |
|
12 |
12 |
$558.88 |
| 0072A |
|
33 |
33 |
$545.16 |
| 96161 |
|
25 |
24 |
$78.00 |
| 90633 |
|
122 |
121 |
$0.00 |
| 90621 |
|
24 |
24 |
$0.00 |
| 91312 |
|
37 |
37 |
$0.00 |
| 90710 |
|
26 |
25 |
$0.00 |
| 91300 |
|
156 |
146 |
$0.00 |
| 90619 |
|
37 |
37 |
$0.00 |
| 91305 |
|
217 |
201 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$0.00 |
| 91307 |
|
135 |
135 |
$0.00 |