| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management, each 15 minutes |
2,443 |
1,322 |
$53K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
287 |
267 |
$15K |
| 0012A |
|
253 |
246 |
$3K |
| 0011A |
|
284 |
272 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
120 |
119 |
$2K |
| S9447 |
Infant safety (including cpr) classes, non-physician provider, per session |
14 |
14 |
$1K |
| 0134A |
|
16 |
16 |
$607.17 |
| 90686 |
|
50 |
50 |
$176.25 |
| 90674 |
|
15 |
15 |
$144.55 |