| Code | Description | Claims | Bene. Records | Total Paid |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
147 |
98 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
31 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
47 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
32 |
$2K |
| 96127 |
|
185 |
116 |
$944.02 |
| 85018 |
|
188 |
110 |
$680.31 |
| 82950 |
|
43 |
27 |
$269.16 |
| 81003 |
|
79 |
52 |
$153.15 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
27 |
$122.13 |