| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,104 |
1,003 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
81 |
$8K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
182 |
61 |
$7K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
147 |
44 |
$4K |
| 72100 |
|
103 |
95 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
137 |
38 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
51 |
47 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
126 |
112 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 72040 |
|
29 |
27 |
$774.25 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
217 |
194 |
$459.93 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
72 |
68 |
$141.64 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
33 |
31 |
$39.79 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
51 |
47 |
$2.63 |