| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
8,230 |
7,713 |
$1.84M |
| T1017 |
Targeted case management, each 15 minutes |
12,089 |
10,872 |
$802K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,983 |
3,772 |
$104K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,948 |
8,471 |
$103K |
| 90715 |
|
2,771 |
2,608 |
$60K |
| H1004 |
Prenatal care, at-risk enhanced service; follow-up home visit |
805 |
733 |
$30K |
| 90651 |
|
702 |
675 |
$11K |
| 91322 |
|
100 |
99 |
$10K |
| 90716 |
|
154 |
139 |
$7K |
| 90619 |
|
319 |
315 |
$3K |
| 90734 |
|
698 |
651 |
$3K |
| 90688 |
|
1,326 |
1,245 |
$3K |
| 0011A |
|
166 |
108 |
$2K |
| 90632 |
|
40 |
35 |
$2K |
| 90636 |
|
18 |
18 |
$2K |
| 90670 |
|
409 |
380 |
$1K |
| 90686 |
|
1,864 |
1,802 |
$1K |
| 90658 |
|
71 |
71 |
$1K |
| 90480 |
|
52 |
52 |
$973.41 |
| 90707 |
|
63 |
61 |
$970.83 |
| 90682 |
|
12 |
12 |
$641.92 |
| 86580 |
|
88 |
83 |
$548.38 |
| 90633 |
|
764 |
722 |
$529.01 |
| 90656 |
|
45 |
45 |
$410.62 |
| 90713 |
|
132 |
130 |
$136.70 |
| G0008 |
Administration of influenza virus vaccine |
36 |
18 |
$62.68 |
| 90680 |
|
17 |
14 |
$57.49 |
| 90672 |
|
15 |
15 |
$40.68 |
| 90696 |
|
106 |
102 |
$33.83 |
| 90700 |
|
35 |
35 |
$22.00 |
| 90710 |
|
283 |
269 |
$0.00 |
| 90685 |
|
16 |
13 |
$0.00 |
| 90744 |
|
152 |
135 |
$0.00 |
| 90698 |
|
144 |
132 |
$0.00 |
| 91301 |
|
152 |
97 |
$0.00 |