| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,760 |
7,999 |
$252K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
609 |
552 |
$28K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
638 |
450 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,266 |
1,112 |
$7K |
| 3008F |
|
3,376 |
2,929 |
$5K |
| 3078F |
|
1,333 |
1,166 |
$3K |
| 3074F |
|
1,348 |
1,175 |
$2K |
| 3077F |
|
588 |
485 |
$2K |
| 3079F |
|
577 |
489 |
$2K |
| 3080F |
|
411 |
337 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
37 |
$1K |
| 3075F |
|
376 |
327 |
$910.00 |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
611 |
427 |
$0.00 |