| Code | Description | Claims | Beneficiaries | Total Paid |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
5,844 |
1,602 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,651 |
1,299 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
913 |
833 |
$44K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
514 |
431 |
$20K |
| 99152 |
|
572 |
443 |
$16K |
| 98927 |
|
466 |
437 |
$15K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
578 |
187 |
$12K |
| 77002 |
|
108 |
101 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
126 |
110 |
$6K |
| 99153 |
Mod sedat endo service >5yrs |
382 |
302 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,061 |
857 |
$2K |
| A4550 |
Surgical trays |
1,647 |
1,158 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
15 |
14 |
$1K |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
375 |
281 |
$1K |
| 20610 |
|
14 |
12 |
$666.60 |
| 97032 |
|
41 |
30 |
$640.80 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
912 |
713 |
$397.77 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
556 |
434 |
$366.96 |
| 80305 |
|
28 |
28 |
$272.74 |
| A4300 |
Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access |
346 |
255 |
$240.01 |
| 99407 |
|
13 |
12 |
$183.95 |
| 82570 |
|
346 |
304 |
$90.36 |
| A4615 |
Cannula, nasal |
334 |
244 |
$66.32 |
| A4616 |
Tubing (oxygen), per foot |
626 |
275 |
$41.51 |
| 94761 |
|
312 |
234 |
$30.02 |
| A4248 |
Chlorhexidine containing antiseptic, 1 ml |
44 |
39 |
$10.25 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
373 |
240 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
234 |
152 |
$0.00 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
33 |
24 |
$0.00 |