| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
709 |
667 |
$52K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
381 |
138 |
$12K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
371 |
133 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
183 |
179 |
$10K |
| 76942 |
|
187 |
156 |
$7K |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
50 |
$3K |
| 80305 |
|
264 |
263 |
$2K |
| 20550 |
|
19 |
13 |
$1K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
36 |
24 |
$1K |
| 99152 |
|
18 |
16 |
$626.91 |
| 20552 |
|
14 |
12 |
$379.28 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$354.16 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$335.91 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
43 |
39 |
$196.98 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
12 |
$110.96 |
| J3490 |
Unclassified drugs |
73 |
46 |
$42.71 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
67 |
64 |
$32.72 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
15 |
13 |
$9.69 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
15 |
13 |
$2.92 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
12 |
12 |
$1.80 |