| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
63,838 |
58,374 |
$2.80M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,303 |
5,923 |
$308K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,660 |
2,727 |
$222K |
| S2083 |
Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline |
1,025 |
867 |
$134K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
11,720 |
4,448 |
$118K |
| 76942 |
|
1,519 |
1,251 |
$68K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,490 |
1,704 |
$63K |
| 99401 |
|
3,133 |
2,013 |
$54K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
563 |
520 |
$48K |
| Q3014 |
Telehealth originating site facility fee |
1,549 |
1,451 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
231 |
197 |
$19K |
| 99402 |
|
706 |
406 |
$12K |
| 99442 |
|
608 |
577 |
$12K |
| 93970 |
|
73 |
66 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
82 |
70 |
$3K |
| 99441 |
|
410 |
388 |
$3K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
93 |
75 |
$3K |
| 76536 |
|
31 |
27 |
$2K |
| 43999 |
|
113 |
99 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
282 |
161 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
151 |
129 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,676 |
963 |
$65.93 |