| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,088 |
2,694 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,311 |
1,089 |
$57K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
547 |
469 |
$29K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,176 |
868 |
$7K |
| 3008F |
|
1,066 |
848 |
$2K |
| 3074F |
|
413 |
366 |
$970.00 |
| 3078F |
|
350 |
313 |
$950.00 |
| 3079F |
|
147 |
137 |
$440.00 |
| 3075F |
|
65 |
60 |
$180.00 |
| 3080F |
|
13 |
12 |
$70.00 |
| 3077F |
|
16 |
15 |
$70.00 |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
318 |
286 |
$0.00 |
| G9006 |
Coordinated care fee, home monitoring |
543 |
466 |
$0.00 |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
545 |
467 |
$0.00 |