| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,090 |
1,895 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,052 |
1,886 |
$76K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
327 |
279 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
323 |
264 |
$3K |
| 3008F |
|
1,450 |
1,298 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$858.20 |
| 3074F |
|
89 |
70 |
$110.00 |
| 3078F |
|
34 |
30 |
$40.00 |
| 3079F |
|
43 |
33 |
$20.00 |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
327 |
279 |
$0.00 |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
327 |
279 |
$0.00 |
| G9006 |
Coordinated care fee, home monitoring |
327 |
279 |
$0.00 |