| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9002 |
Coordinated care fee, maintenance rate |
2,215 |
2,111 |
$249K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,631 |
3,494 |
$61K |
| 90716 |
|
948 |
907 |
$59K |
| 90651 |
|
1,059 |
1,037 |
$32K |
| 91322 |
|
256 |
247 |
$24K |
| 90715 |
|
1,111 |
1,083 |
$21K |
| 90707 |
|
302 |
284 |
$20K |
| 90713 |
|
851 |
834 |
$18K |
| 90686 |
|
1,117 |
1,089 |
$16K |
| 90739 |
|
125 |
118 |
$13K |
| 96161 |
|
3,492 |
3,405 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
588 |
500 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
588 |
511 |
$8K |
| 90633 |
|
716 |
703 |
$8K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,569 |
1,487 |
$7K |
| 96160 |
|
2,160 |
2,028 |
$5K |
| 90734 |
|
456 |
450 |
$5K |
| 90619 |
|
284 |
284 |
$5K |
| 90714 |
|
183 |
181 |
$4K |
| 90746 |
|
64 |
61 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71 |
60 |
$3K |
| 90480 |
|
99 |
93 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
281 |
277 |
$2K |
| 90656 |
|
120 |
120 |
$2K |
| 90744 |
|
98 |
98 |
$1K |
| 90670 |
|
95 |
88 |
$927.09 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
84 |
83 |
$582.78 |
| 99000 |
|
292 |
245 |
$566.48 |
| 90710 |
|
50 |
49 |
$542.86 |
| G9001 |
Coordinated care fee, initial rate |
14 |
14 |
$358.75 |
| 90648 |
|
25 |
25 |
$238.82 |
| 90671 |
|
12 |
12 |
$213.92 |
| 90696 |
|
14 |
14 |
$164.24 |
| 36415 |
Collection of venous blood by venipuncture |
78 |
65 |
$153.26 |
| 81025 |
|
13 |
12 |
$87.60 |
| S0250 |
Comprehensive geriatric assessment and treatment planning performed by assessment team |
16 |
15 |
$0.00 |