| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
24,490 |
15,663 |
$12.64M |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
18,711 |
5,162 |
$8.45M |
| T1016 |
Case management, each 15 minutes |
27,371 |
13,512 |
$5.63M |
| 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) |
8,949 |
6,594 |
$4.75M |
| 0011A |
|
737 |
731 |
$299K |
| 0012A |
|
675 |
674 |
$275K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
504 |
502 |
$251K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
516 |
511 |
$183K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
2,399 |
2,339 |
$89K |
| 0064A |
|
169 |
168 |
$74K |
| 0072A |
|
60 |
60 |
$34K |
| 0071A |
|
66 |
66 |
$34K |
| 0001A |
|
53 |
53 |
$26K |
| 90480 |
|
29 |
28 |
$18K |
| X5622 |
|
57 |
55 |
$16K |
| 0002A |
|
30 |
30 |
$16K |
| 0031A |
|
30 |
30 |
$15K |
| 0134A |
|
43 |
42 |
$13K |
| 90686 |
|
390 |
387 |
$676.00 |
| 90688 |
|
383 |
382 |
$7.00 |
| 90621 |
|
14 |
14 |
$0.00 |
| 99382 |
|
20 |
18 |
$0.00 |
| 99173 |
|
56 |
54 |
$0.00 |
| 99188 |
|
57 |
55 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$0.00 |
| 90734 |
|
54 |
54 |
$0.00 |
| 91322 |
|
29 |
28 |
$0.00 |
| 96127 |
|
57 |
55 |
$0.00 |
| 91301 |
|
208 |
208 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
57 |
55 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
26 |
26 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
57 |
55 |
$0.00 |
| 90619 |
|
17 |
17 |
$0.00 |
| 92551 |
|
54 |
52 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 90651 |
|
15 |
14 |
$0.00 |