| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9002 |
Coordinated care fee, maintenance rate |
1,910 |
1,837 |
$213K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,090 |
712 |
$53K |
| S0215 |
Non-emergency transportation; mileage, per mile |
894 |
849 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
319 |
226 |
$8K |
| 81025 |
|
826 |
722 |
$5K |
| 81002 |
|
1,995 |
1,279 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
363 |
306 |
$4K |
| G9001 |
Coordinated care fee, initial rate |
97 |
44 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
925 |
809 |
$2K |
| 99000 |
|
993 |
795 |
$1K |
| 85018 |
|
805 |
515 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
76 |
69 |
$661.34 |
| 90686 |
|
29 |
29 |
$508.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
40 |
$453.47 |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
94 |
48 |
$440.40 |
| 96160 |
|
106 |
92 |
$198.74 |
| 90619 |
|
18 |
18 |
$187.00 |
| 36416 |
|
304 |
208 |
$170.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
16 |
$58.86 |