| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
254 |
199 |
$14K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
538 |
157 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
218 |
156 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
44 |
$2K |
| 97165 |
|
17 |
12 |
$587.81 |
| 99070 |
|
247 |
107 |
$562.95 |
| 97010 |
|
222 |
65 |
$388.46 |
| 73140 |
|
23 |
13 |
$302.51 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
13 |
$156.64 |
| 99024 |
|
20 |
13 |
$0.00 |