| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
248 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
182 |
177 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
89 |
89 |
$4K |
| 62323 |
|
40 |
38 |
$2K |
| 97162 |
|
68 |
68 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
54 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
84 |
73 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
27 |
25 |
$1K |
| 95831 |
|
82 |
74 |
$930.55 |
| 97032 |
|
75 |
67 |
$808.29 |
| 95851 |
|
86 |
76 |
$592.29 |
| 20610 |
|
147 |
119 |
$549.30 |
| 97164 |
|
18 |
15 |
$151.59 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
28 |
28 |
$54.38 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
30 |
30 |
$27.07 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
73 |
71 |
$23.21 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
78 |
76 |
$0.00 |
| 97010 |
|
77 |
69 |
$0.00 |