| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9002 |
Coordinated care fee, maintenance rate |
9,330 |
8,695 |
$989K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,915 |
2,778 |
$39K |
| S0215 |
Non-emergency transportation; mileage, per mile |
3,757 |
3,521 |
$29K |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
3,987 |
3,015 |
$19K |
| G9001 |
Coordinated care fee, initial rate |
795 |
745 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
929 |
867 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
70 |
$6K |
| 90651 |
|
246 |
241 |
$5K |
| 90715 |
|
418 |
400 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,835 |
1,709 |
$4K |
| 90619 |
|
357 |
354 |
$4K |
| 90734 |
|
107 |
105 |
$3K |
| 99000 |
|
2,364 |
2,167 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
62 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
139 |
117 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
738 |
637 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
109 |
96 |
$2K |
| 87210 |
|
378 |
328 |
$2K |
| 96161 |
|
894 |
847 |
$2K |
| 81025 |
|
245 |
216 |
$1K |
| 90686 |
|
121 |
117 |
$1K |
| 90633 |
|
122 |
120 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
265 |
240 |
$980.62 |
| 96127 |
|
169 |
163 |
$790.38 |
| 90710 |
|
63 |
63 |
$672.45 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
95 |
85 |
$495.30 |
| 90480 |
|
24 |
24 |
$452.00 |
| 90696 |
|
32 |
32 |
$341.00 |
| 86580 |
|
40 |
38 |
$304.00 |
| 90713 |
|
12 |
12 |
$153.58 |
| 90744 |
|
12 |
12 |
$131.25 |
| S4993 |
Contraceptive pills for birth control |
16 |
13 |
$87.32 |
| 96160 |
|
28 |
25 |
$35.88 |