| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,073 |
6,439 |
$419K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,984 |
4,721 |
$221K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,771 |
832 |
$75K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,914 |
893 |
$50K |
| 99223 |
Prolong inpt eval add15 m |
144 |
135 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,293 |
2,159 |
$15K |
| 99222 |
Initial hospital care, per day, moderate complexity |
144 |
135 |
$11K |
| 97014 |
|
1,070 |
316 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
114 |
113 |
$8K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
415 |
212 |
$8K |
| 99442 |
|
288 |
279 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,765 |
1,670 |
$1K |
| 20552 |
|
34 |
32 |
$622.00 |
| 97162 |
|
12 |
12 |
$518.65 |
| 97164 |
|
12 |
12 |
$350.79 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
37 |
36 |
$268.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
878 |
816 |
$160.55 |
| 99422 |
|
15 |
14 |
$0.00 |