| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
2,405 |
1,336 |
$76K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,525 |
1,328 |
$27K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
395 |
357 |
$8K |
| G9012 |
Other specified case management service not elsewhere classified |
315 |
211 |
$8K |
| 90686 |
|
530 |
455 |
$4K |
| 90651 |
|
43 |
36 |
$4K |
| 90480 |
|
141 |
116 |
$3K |
| 90734 |
|
39 |
37 |
$2K |
| 90715 |
|
73 |
66 |
$1K |
| 91320 |
|
39 |
33 |
$1K |
| 90710 |
|
17 |
12 |
$387.82 |
| 90656 |
|
38 |
36 |
$229.00 |
| 90696 |
|
17 |
12 |
$96.38 |
| G0008 |
Administration of influenza virus vaccine |
51 |
50 |
$0.00 |