| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
549 |
489 |
$61K |
| T1002 |
Rn services, up to 15 minutes |
650 |
407 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,319 |
1,179 |
$21K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
154 |
78 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
210 |
187 |
$5K |
| 91320 |
|
63 |
63 |
$3K |
| 36416 |
|
445 |
405 |
$3K |
| 90686 |
|
622 |
571 |
$2K |
| 85018 |
|
441 |
401 |
$1K |
| 90480 |
|
63 |
63 |
$593.48 |
| 96127 |
|
56 |
50 |
$253.78 |
| 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 |
12 |
12 |
$238.56 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
25 |
$223.75 |
| 90656 |
|
25 |
25 |
$88.26 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
13 |
13 |
$52.71 |
| 90674 |
|
13 |
13 |
$0.00 |
| 90620 |
|
30 |
29 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |
| 90734 |
|
15 |
14 |
$0.00 |
| 90685 |
|
20 |
18 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |