| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9011 |
Coordinated care fee, risk adjusted maintenance, level 5 |
2,901 |
2,895 |
$117K |
| 90834 |
Psychotherapy, 45 minutes with patient |
351 |
183 |
$19K |
| V5008 |
Hearing screening |
1,765 |
1,756 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,638 |
1,625 |
$15K |
| 99172 |
|
1,433 |
1,407 |
$13K |
| 90832 |
Psychotherapy, 30 minutes with patient |
300 |
177 |
$12K |
| 0002A |
|
307 |
307 |
$11K |
| 0001A |
|
321 |
320 |
$11K |
| 0012A |
|
266 |
266 |
$10K |
| 0011A |
|
294 |
294 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
517 |
516 |
$9K |
| 0071A |
|
104 |
104 |
$4K |
| 0064A |
|
103 |
103 |
$4K |
| 91322 |
|
42 |
42 |
$4K |
| 0072A |
|
102 |
102 |
$4K |
| 0004A |
|
98 |
98 |
$4K |
| G9001 |
Coordinated care fee, initial rate |
62 |
62 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
13 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
205 |
200 |
$2K |
| 0031A |
|
56 |
56 |
$2K |
| 90480 |
|
80 |
80 |
$1K |
| 36416 |
|
177 |
173 |
$1K |
| 90686 |
|
322 |
322 |
$1K |
| 85018 |
|
452 |
447 |
$1K |
| 0134A |
|
30 |
30 |
$996.29 |
| 90674 |
|
18 |
18 |
$512.60 |
| 90661 |
|
12 |
12 |
$350.00 |
| 90688 |
|
82 |
82 |
$344.28 |
| 90473 |
|
26 |
26 |
$228.64 |
| 90715 |
|
13 |
13 |
$120.13 |
| 90672 |
|
43 |
43 |
$26.88 |
| 90633 |
|
14 |
14 |
$0.00 |
| 91300 |
|
842 |
803 |
$0.00 |
| 91313 |
|
31 |
31 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90685 |
|
16 |
16 |
$0.00 |
| 91307 |
|
210 |
198 |
$0.00 |
| 91301 |
|
564 |
562 |
$0.00 |
| 91306 |
|
103 |
103 |
$0.00 |
| 91303 |
|
56 |
56 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |