| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1001 |
Nursing assessment / evaluation |
892 |
843 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
573 |
554 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
119 |
112 |
$3K |
| 97803 |
|
114 |
108 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
36 |
34 |
$768.30 |
| 90686 |
|
393 |
386 |
$397.51 |
| 99173 |
|
86 |
80 |
$380.44 |
| 92567 |
|
13 |
13 |
$180.00 |
| 90688 |
|
17 |
17 |
$89.20 |
| G0008 |
Administration of influenza virus vaccine |
94 |
94 |
$0.00 |
| 0064A |
|
13 |
13 |
$0.00 |
| 0134A |
|
12 |
12 |
$0.00 |
| 90734 |
|
14 |
12 |
$0.00 |
| 90662 |
|
73 |
73 |
$0.00 |