| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91320 |
|
164 |
154 |
$10K |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
328 |
309 |
$9K |
| 0124A |
|
248 |
213 |
$6K |
| G0310 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) |
168 |
159 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
453 |
400 |
$4K |
| 0003A |
|
210 |
209 |
$3K |
| 90688 |
|
221 |
209 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
163 |
132 |
$1K |
| 90756 |
|
157 |
117 |
$1K |
| 0004A |
|
38 |
36 |
$1K |
| 90674 |
|
40 |
40 |
$0.00 |
| 90686 |
|
107 |
107 |
$0.00 |
| 90480 |
|
98 |
98 |
$0.00 |
| 91300 |
|
146 |
145 |
$0.00 |
| 91322 |
|
37 |
37 |
$0.00 |
| 91312 |
|
147 |
116 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
78 |
78 |
$0.00 |