| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1002 |
Rn services, up to 15 minutes |
29,428 |
17,244 |
$871K |
| T1001 |
Nursing assessment / evaluation |
10,168 |
7,780 |
$168K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
834 |
556 |
$59K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
234 |
234 |
$30K |
| 0002A |
|
405 |
332 |
$15K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
584 |
399 |
$13K |
| 0001A |
|
474 |
391 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
633 |
625 |
$10K |
| H0033 |
Oral medication administration, direct observation |
1,867 |
279 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
209 |
116 |
$3K |
| 0031A |
|
57 |
35 |
$2K |
| 0012A |
|
46 |
45 |
$2K |
| 90686 |
|
222 |
218 |
$1K |
| 0011A |
|
48 |
48 |
$1K |
| 96127 |
|
206 |
205 |
$1K |
| 91322 |
|
18 |
18 |
$963.20 |
| 0004A |
|
26 |
26 |
$951.28 |
| 90480 |
|
20 |
20 |
$402.85 |
| 90656 |
|
16 |
15 |
$167.80 |
| G0008 |
Administration of influenza virus vaccine |
15 |
13 |
$12.24 |
| 91301 |
|
106 |
101 |
$0.00 |
| 91307 |
|
15 |
12 |
$0.00 |
| 91303 |
|
57 |
35 |
$0.00 |
| 91300 |
|
951 |
679 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |