| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management, each 15 minutes |
7,273 |
2,544 |
$223K |
| 0012A |
|
418 |
410 |
$17K |
| 0002A |
|
264 |
260 |
$10K |
| 0001A |
|
237 |
218 |
$9K |
| 0011A |
|
418 |
408 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
177 |
166 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96 |
90 |
$7K |
| 0064A |
|
148 |
141 |
$6K |
| 0004A |
|
49 |
49 |
$2K |
| 0072A |
|
40 |
40 |
$2K |
| 0071A |
|
33 |
31 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
39 |
28 |
$178.30 |
| T1017 |
Targeted case management, each 15 minutes |
14 |
13 |
$177.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$155.60 |
| 91301 |
|
86 |
81 |
$1.25 |
| 91300 |
|
81 |
79 |
$0.30 |