| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1002 |
Rn services, up to 15 minutes |
5,568 |
2,315 |
$310K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
178 |
172 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,256 |
1,229 |
$20K |
| S0390 |
Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit |
898 |
888 |
$15K |
| 90686 |
|
746 |
730 |
$4K |
| 0012A |
|
85 |
78 |
$2K |
| 91320 |
|
55 |
54 |
$2K |
| 99188 |
|
84 |
80 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
93 |
55 |
$2K |
| 0011A |
|
70 |
69 |
$1K |
| 36416 |
|
168 |
141 |
$1K |
| 90656 |
|
116 |
112 |
$712.92 |
| 96127 |
|
115 |
110 |
$511.16 |
| 0001A |
|
17 |
17 |
$360.08 |
| 85018 |
|
145 |
140 |
$308.10 |
| 90480 |
|
55 |
54 |
$263.55 |
| 0124A |
|
35 |
35 |
$181.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$129.74 |
| 90662 |
|
59 |
58 |
$58.00 |
| 94760 |
|
1,584 |
1,164 |
$14.77 |
| 91300 |
|
71 |
57 |
$0.00 |
| 91301 |
|
179 |
146 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
118 |
116 |
$0.00 |