| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9002 |
Coordinated care fee, maintenance rate |
3,293 |
2,998 |
$353K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,648 |
4,462 |
$71K |
| 90686 |
|
2,530 |
2,482 |
$29K |
| S0215 |
Non-emergency transportation; mileage, per mile |
856 |
793 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
553 |
524 |
$5K |
| 90715 |
|
251 |
247 |
$3K |
| 90734 |
|
139 |
137 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
164 |
161 |
$2K |
| 90632 |
|
48 |
42 |
$2K |
| 81025 |
|
281 |
271 |
$2K |
| 90651 |
|
60 |
60 |
$2K |
| 90656 |
|
144 |
144 |
$2K |
| G9001 |
Coordinated care fee, initial rate |
63 |
58 |
$1K |
| 90619 |
|
65 |
65 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
174 |
166 |
$385.17 |
| 90633 |
|
27 |
27 |
$299.88 |
| 85018 |
|
145 |
140 |
$291.97 |
| 99000 |
|
271 |
266 |
$252.97 |
| 96161 |
|
29 |
29 |
$85.96 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$34.42 |