| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9002 |
Coordinated care fee, maintenance rate |
2,623 |
2,460 |
$292K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,110 |
2,005 |
$31K |
| 90686 |
|
1,270 |
1,229 |
$15K |
| S0215 |
Non-emergency transportation; mileage, per mile |
602 |
559 |
$3K |
| G9001 |
Coordinated care fee, initial rate |
62 |
60 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
200 |
181 |
$1K |
| 81025 |
|
178 |
169 |
$1K |
| 90715 |
|
72 |
71 |
$991.82 |
| 90656 |
|
90 |
90 |
$991.27 |
| 90734 |
|
35 |
35 |
$463.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
24 |
$354.87 |
| 90619 |
|
26 |
26 |
$315.96 |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
53 |
52 |
$277.80 |
| 96161 |
|
90 |
84 |
$221.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
44 |
$206.10 |
| 99000 |
|
243 |
231 |
$198.74 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$33.47 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |