| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2019 |
Therapeutic behavioral services, per 15 minutes |
2,423 |
2,382 |
$1.77M |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
5,355 |
1,447 |
$785K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,895 |
1,894 |
$557K |
| S9131 |
Physical therapy; in the home, per diem |
631 |
120 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
110 |
108 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
77 |
74 |
$4K |
| 90686 |
|
159 |
158 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
335 |
319 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
152 |
151 |
$1K |
| 90656 |
|
46 |
46 |
$327.06 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
193 |
192 |
$313.01 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$258.28 |
| 87800 |
|
181 |
179 |
$0.00 |
| 90734 |
|
49 |
49 |
$0.00 |
| 81025 |
|
41 |
40 |
$0.00 |