| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9002 |
Coordinated care fee, maintenance rate |
2,173 |
2,117 |
$243K |
| 90651 |
|
584 |
561 |
$10K |
| 90619 |
|
745 |
719 |
$10K |
| 90715 |
|
667 |
628 |
$8K |
| S0215 |
Non-emergency transportation; mileage, per mile |
871 |
833 |
$6K |
| 99383 |
|
27 |
27 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
27 |
$2K |
| 90734 |
|
145 |
138 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
124 |
111 |
$2K |
| 99000 |
|
879 |
837 |
$1K |
| 90633 |
|
136 |
132 |
$1K |
| 90710 |
|
131 |
127 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
541 |
519 |
$1K |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
204 |
185 |
$1K |
| 99382 |
|
16 |
16 |
$1K |
| 90696 |
|
93 |
90 |
$944.50 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$865.32 |
| 90707 |
|
68 |
63 |
$713.06 |
| 90716 |
|
72 |
65 |
$703.58 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
54 |
53 |
$462.29 |
| 90713 |
|
35 |
31 |
$340.24 |
| 90744 |
|
29 |
28 |
$252.26 |
| 81025 |
|
34 |
30 |
$236.82 |
| 85018 |
|
90 |
88 |
$203.05 |
| 90686 |
|
12 |
12 |
$158.91 |
| 90723 |
|
15 |
14 |
$154.00 |
| 90700 |
|
13 |
12 |
$143.34 |
| 90670 |
|
14 |
12 |
$138.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
12 |
$136.28 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
125 |
112 |
$102.46 |