| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9002 |
Coordinated care fee, maintenance rate |
5,457 |
5,132 |
$593K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,085 |
1,787 |
$147K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,058 |
2,794 |
$43K |
| 90651 |
|
384 |
365 |
$14K |
| G9001 |
Coordinated care fee, initial rate |
357 |
334 |
$8K |
| 90686 |
|
641 |
587 |
$8K |
| 81002 |
|
2,836 |
1,681 |
$7K |
| S0215 |
Non-emergency transportation; mileage, per mile |
2,510 |
2,420 |
$6K |
| 90716 |
|
422 |
401 |
$6K |
| 90715 |
|
283 |
273 |
$5K |
| 90633 |
|
423 |
402 |
$5K |
| 90713 |
|
360 |
348 |
$4K |
| 90744 |
|
242 |
230 |
$2K |
| 90707 |
|
184 |
173 |
$2K |
| 99000 |
|
726 |
614 |
$2K |
| 96160 |
|
830 |
783 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$2K |
| S9443 |
Lactation classes, non-physician provider, per session |
13 |
12 |
$864.00 |
| 90619 |
|
59 |
59 |
$779.85 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
26 |
$670.80 |
| 90714 |
|
62 |
58 |
$664.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
131 |
$596.21 |
| 86580 |
|
87 |
80 |
$569.85 |
| 90734 |
|
25 |
25 |
$523.22 |
| 81025 |
|
32 |
27 |
$184.69 |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
40 |
36 |
$179.40 |
| 85018 |
|
92 |
89 |
$125.25 |
| 96161 |
|
41 |
40 |
$73.30 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
24 |
$61.18 |