| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,767 |
2,494 |
$112K |
| 99442 |
|
1,489 |
1,345 |
$42K |
| T2022 |
Case management, per month |
362 |
362 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,015 |
966 |
$35K |
| 99490 |
Ccm add 20min |
1,061 |
1,060 |
$8K |
| 92552 |
|
385 |
385 |
$8K |
| 99493 |
|
97 |
97 |
$7K |
| 99441 |
|
380 |
360 |
$7K |
| 99492 |
|
65 |
65 |
$7K |
| 93000 |
|
564 |
560 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
35 |
$2K |
| 96160 |
|
53 |
53 |
$1K |
| 90674 |
|
38 |
38 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
43 |
$845.88 |
| 94010 |
|
15 |
15 |
$362.52 |
| 99443 |
|
16 |
16 |
$272.00 |
| 81002 |
|
101 |
101 |
$243.14 |
| 3074F |
|
87 |
87 |
$140.00 |
| 82947 |
|
55 |
54 |
$97.26 |
| 3078F |
|
28 |
28 |
$52.50 |
| 99173 |
|
15 |
15 |
$48.23 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$43.70 |
| 81003 |
|
20 |
20 |
$37.37 |
| 99429 |
|
380 |
228 |
$0.00 |
| 3079F |
|
15 |
15 |
$0.00 |