| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
251,268 |
61,689 |
$10.64M |
| 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) |
9,149 |
6,287 |
$1.32M |
| S0250 |
Comprehensive geriatric assessment and treatment planning performed by assessment team |
4,389 |
4,370 |
$365K |
| S5190 |
Wellness assessment, performed by non-physician |
440 |
439 |
$48K |
| S9447 |
Infant safety (including cpr) classes, non-physician provider, per session |
97 |
97 |
$8K |
| 83655 |
|
754 |
753 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
665 |
664 |
$6K |
| 91322 |
|
38 |
38 |
$5K |
| 96127 |
|
1,001 |
970 |
$4K |
| T1015 |
Clinic visit/encounter, all-inclusive |
68 |
60 |
$2K |
| 90662 |
|
33 |
33 |
$2K |
| 96161 |
|
257 |
254 |
$2K |
| 36416 |
|
816 |
812 |
$2K |
| T1002 |
Rn services, up to 15 minutes |
12 |
12 |
$610.80 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
17 |
15 |
$558.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
35 |
$522.66 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$509.20 |
| 90686 |
|
14 |
14 |
$248.91 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
16 |
16 |
$229.50 |
| 85018 |
|
56 |
56 |
$149.72 |
| 92552 |
|
16 |
16 |
$55.08 |
| 90480 |
|
38 |
38 |
$35.02 |
| 99188 |
|
13 |
13 |
$22.92 |
| 99173 |
|
16 |
16 |
$6.69 |
| G9012 |
Other specified case management service not elsewhere classified |
49 |
49 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
268 |
103 |
$0.00 |
| X5622 |
|
17 |
17 |
$0.00 |