| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9002 |
Coordinated care fee, maintenance rate |
233 |
226 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
828 |
764 |
$13K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
837 |
781 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
45 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
138 |
134 |
$2K |
| 87210 |
|
339 |
293 |
$2K |
| 99000 |
|
576 |
529 |
$1K |
| 81025 |
|
188 |
173 |
$1K |
| 90715 |
|
48 |
48 |
$554.89 |
| S0215 |
Non-emergency transportation; mileage, per mile |
45 |
44 |
$435.98 |
| 90734 |
|
34 |
34 |
$419.57 |
| 36415 |
Collection of venous blood by venipuncture |
122 |
115 |
$318.87 |
| 90651 |
|
28 |
28 |
$308.36 |
| 90686 |
|
14 |
12 |
$157.97 |