| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,811 |
2,151 |
$123K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,346 |
1,551 |
$100K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,901 |
860 |
$68K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,503 |
754 |
$51K |
| 11721 |
|
128 |
120 |
$4K |
| 97161 |
|
30 |
26 |
$1K |
| 99000 |
|
60 |
51 |
$768.43 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$527.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$190.98 |
| 36415 |
Collection of venous blood by venipuncture |
76 |
68 |
$125.00 |
| 90686 |
|
12 |
12 |
$77.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
38 |
$62.24 |
| 95117 |
|
28 |
26 |
$0.00 |