| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,938 |
3,562 |
$124K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
727 |
618 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
146 |
$7K |
| 3008F |
|
857 |
750 |
$510.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
47 |
$268.00 |
| 3074F |
|
534 |
477 |
$240.00 |
| 3079F |
|
174 |
158 |
$180.00 |
| 3078F |
|
322 |
302 |
$150.00 |
| 3077F |
|
65 |
59 |
$50.00 |
| 3080F |
|
98 |
80 |
$30.00 |
| 3075F |
|
42 |
35 |
$20.00 |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
725 |
616 |
$0.00 |