| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,610 |
4,051 |
$124K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,012 |
905 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
396 |
350 |
$19K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
255 |
224 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,002 |
794 |
$8K |
| 3008F |
|
429 |
393 |
$690.00 |
| 3074F |
|
132 |
114 |
$320.00 |
| 3078F |
|
67 |
60 |
$110.00 |
| 3079F |
|
19 |
15 |
$80.00 |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
86 |
72 |
$0.00 |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
200 |
181 |
$0.00 |