| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,016 |
3,754 |
$211K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,566 |
1,079 |
$61K |
| 93970 |
|
273 |
270 |
$48K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,459 |
1,019 |
$46K |
| 97161 |
|
672 |
668 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
452 |
427 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
728 |
703 |
$27K |
| 36478 |
|
32 |
27 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
319 |
319 |
$20K |
| 93880 |
|
97 |
96 |
$17K |
| 93971 |
|
138 |
105 |
$15K |
| 97014 |
|
2,223 |
921 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
120 |
$11K |
| 93922 |
|
83 |
82 |
$6K |
| 99242 |
|
34 |
34 |
$3K |
| 97164 |
|
42 |
40 |
$2K |
| 99173 |
|
111 |
109 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
50 |
47 |
$1K |
| 93000 |
|
40 |
40 |
$1K |
| 11100 |
|
14 |
13 |
$1K |
| 92546 |
|
28 |
14 |
$1K |
| 95923 |
|
15 |
15 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
14 |
$812.70 |
| 99241 |
|
13 |
13 |
$655.98 |
| 11900 |
|
14 |
13 |
$600.60 |
| 92551 |
|
84 |
84 |
$535.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$394.10 |
| 92545 |
|
28 |
14 |
$328.06 |
| 92542 |
|
14 |
14 |
$288.88 |
| 92541 |
|
14 |
14 |
$249.22 |
| 36415 |
Collection of venous blood by venipuncture |
48 |
46 |
$235.00 |
| 92544 |
|
14 |
14 |
$174.07 |
| 90658 |
|
20 |
20 |
$151.51 |
| 97010 |
|
852 |
348 |
$45.93 |
| 86328 |
|
46 |
44 |
$0.00 |
| 1160F |
|
273 |
237 |
$0.00 |
| 3078F |
|
200 |
177 |
$0.00 |
| 1159F |
|
218 |
187 |
$0.00 |
| 3725F |
|
17 |
16 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
24 |
22 |
$0.00 |
| 3074F |
|
229 |
199 |
$0.00 |
| 3008F |
|
269 |
236 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
64 |
64 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
24 |
24 |
$0.00 |
| J3490 |
Unclassified drugs |
14 |
13 |
$0.00 |