| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,490 |
1,335 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
343 |
333 |
$17K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
240 |
208 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
335 |
218 |
$2K |
| 99443 |
|
356 |
290 |
$287.46 |
| 3074F |
|
103 |
98 |
$270.00 |
| 3078F |
|
66 |
65 |
$190.00 |
| 3079F |
|
29 |
26 |
$90.00 |
| 3008F |
|
402 |
388 |
$0.00 |
| 1159F |
|
518 |
404 |
$0.00 |
| 1160F |
|
518 |
404 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
193 |
157 |
$0.00 |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
240 |
208 |
$0.00 |