| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5130 |
Homemaker service, nos; per 15 minutes |
8,196 |
1,036 |
$273K |
| S5125 |
Attendant care services; per 15 minutes |
1,417 |
345 |
$82K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
261 |
76 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
801 |
773 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
436 |
425 |
$9K |
| 90686 |
|
293 |
274 |
$2K |
| 0012A |
|
49 |
49 |
$1K |
| 0011A |
|
51 |
51 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
45 |
35 |
$509.47 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24 |
24 |
$489.40 |
| 0064A |
|
16 |
15 |
$150.00 |
| 90633 |
|
20 |
19 |
$0.00 |
| 90734 |
|
38 |
36 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 90716 |
|
16 |
16 |
$0.00 |
| 91306 |
|
14 |
14 |
$0.00 |
| 91301 |
|
107 |
99 |
$0.00 |
| 90620 |
|
15 |
14 |
$0.00 |