| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9002 |
Coordinated care fee, maintenance rate |
529 |
440 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
436 |
379 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,393 |
1,320 |
$17K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
587 |
531 |
$8K |
| 90619 |
|
405 |
390 |
$5K |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
977 |
739 |
$5K |
| 90715 |
|
327 |
315 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
195 |
176 |
$3K |
| 81025 |
|
428 |
335 |
$2K |
| 87210 |
|
622 |
450 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79 |
68 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,003 |
906 |
$2K |
| 99000 |
|
1,396 |
1,239 |
$2K |
| 90651 |
|
109 |
106 |
$1K |
| 99188 |
|
41 |
40 |
$864.66 |
| 90734 |
|
70 |
69 |
$750.81 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$685.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
562 |
507 |
$646.21 |
| 90710 |
|
58 |
57 |
$633.94 |
| 90633 |
|
49 |
46 |
$501.60 |
| S0215 |
Non-emergency transportation; mileage, per mile |
150 |
95 |
$270.97 |
| 85018 |
|
156 |
113 |
$244.59 |
| 90686 |
|
16 |
14 |
$158.79 |
| 90707 |
|
14 |
14 |
$154.00 |
| 90716 |
|
14 |
14 |
$154.00 |
| 96160 |
|
118 |
110 |
$136.51 |
| 90670 |
|
12 |
12 |
$135.30 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
211 |
181 |
$82.94 |
| S0250 |
Comprehensive geriatric assessment and treatment planning performed by assessment team |
14 |
13 |
$0.00 |