| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,889 |
15,131 |
$555K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,864 |
3,385 |
$274K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
13,955 |
4,048 |
$254K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,337 |
4,235 |
$223K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
11,792 |
3,620 |
$214K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,893 |
3,465 |
$181K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
9,591 |
3,104 |
$130K |
| 20611 |
|
2,684 |
1,684 |
$94K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
5,220 |
1,646 |
$90K |
| 97161 |
|
871 |
759 |
$37K |
| 20610 |
|
609 |
365 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
456 |
356 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
821 |
566 |
$6K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
52 |
42 |
$6K |
| 73562 |
|
341 |
253 |
$5K |
| 73110 |
|
287 |
199 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
78 |
70 |
$3K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
444 |
347 |
$2K |
| 73610 |
|
146 |
110 |
$2K |
| 73630 |
|
151 |
111 |
$2K |
| 73130 |
|
134 |
85 |
$2K |
| 73560 |
|
139 |
99 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,030 |
3,156 |
$1K |
| 76942 |
|
52 |
37 |
$1K |
| 72100 |
|
63 |
51 |
$911.65 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
644 |
530 |
$870.57 |
| 73030 |
|
76 |
58 |
$760.99 |
| 72110 |
|
34 |
25 |
$738.95 |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
20 |
13 |
$728.86 |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
41 |
15 |
$574.48 |
| 97014 |
|
86 |
38 |
$443.87 |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
20 |
13 |
$435.61 |
| 73564 |
|
37 |
30 |
$402.07 |
| 97164 |
|
13 |
12 |
$359.55 |
| 73140 |
|
13 |
12 |
$198.50 |
| 73080 |
|
15 |
12 |
$172.49 |
| 97032 |
|
29 |
13 |
$103.32 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
12 |
$45.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
17 |
$40.84 |
| 1160F |
|
14 |
12 |
$0.00 |
| 1159F |
|
14 |
12 |
$0.00 |
| 99024 |
|
392 |
309 |
$0.00 |
| 97010 |
|
241 |
64 |
$0.00 |
| 3008F |
|
14 |
12 |
$0.00 |