| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96130 |
|
2,989 |
2,985 |
$850K |
| T1001 |
Nursing assessment / evaluation |
4,606 |
4,366 |
$354K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,717 |
3,678 |
$176K |
| 96101 |
|
536 |
490 |
$123K |
| 96150 |
|
3,687 |
2,947 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,365 |
2,238 |
$77K |
| 92551 |
|
8,507 |
8,469 |
$75K |
| 99383 |
|
937 |
935 |
$71K |
| V5008 |
Hearing screening |
2,710 |
2,623 |
$57K |
| T1004 |
Services of a qualified nursing aide, up to 15 minutes |
4,273 |
435 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,592 |
1,493 |
$44K |
| 99401 |
|
1,855 |
1,397 |
$41K |
| 90715 |
|
3,107 |
3,099 |
$33K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,519 |
146 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
432 |
429 |
$25K |
| 99201 |
|
831 |
826 |
$25K |
| 90832 |
Psychotherapy, 30 minutes with patient |
511 |
302 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
289 |
279 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
220 |
220 |
$19K |
| 99173 |
|
4,183 |
4,145 |
$17K |
| 99382 |
|
229 |
227 |
$16K |
| T1002 |
Rn services, up to 15 minutes |
1,087 |
901 |
$15K |
| 96156 |
|
1,160 |
1,084 |
$15K |
| 90651 |
|
781 |
778 |
$8K |
| 96151 |
|
550 |
494 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
86 |
53 |
$8K |
| 90734 |
|
656 |
651 |
$7K |
| 85018 |
|
3,891 |
3,766 |
$6K |
| 90710 |
|
527 |
520 |
$6K |
| 90686 |
|
505 |
502 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
28 |
28 |
$5K |
| 81002 |
|
2,654 |
2,521 |
$4K |
| 90649 |
|
357 |
354 |
$4K |
| 90696 |
|
375 |
371 |
$4K |
| 99384 |
|
30 |
30 |
$3K |
| A0425 |
Ground mileage, per statute mile |
1,464 |
143 |
$3K |
| 90716 |
|
211 |
211 |
$2K |
| 99215 |
Prolong outpt/office vis |
29 |
13 |
$2K |
| 90633 |
|
154 |
152 |
$2K |
| 96127 |
|
244 |
244 |
$1K |
| 90707 |
|
124 |
124 |
$1K |
| 90733 |
|
84 |
83 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
32 |
$1K |
| 90619 |
|
96 |
96 |
$1K |
| 96152 |
|
25 |
13 |
$937.77 |
| 92508 |
Group treatment of speech, language, voice, communication, and/or auditory processing disorder |
50 |
45 |
$821.92 |
| T1003 |
Lpn/lvn services, up to 15 minutes |
102 |
102 |
$694.20 |
| 90723 |
|
64 |
62 |
$680.40 |
| 81000 |
|
317 |
314 |
$641.58 |
| 81003 |
|
350 |
346 |
$549.50 |
| 90700 |
|
51 |
50 |
$540.00 |
| 90713 |
|
36 |
36 |
$378.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$183.72 |
| 90744 |
|
16 |
16 |
$171.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$83.85 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
606 |
603 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,280 |
1,267 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
12 |
12 |
$0.00 |