| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,348 |
2,223 |
$134K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,029 |
2,810 |
$86K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
227 |
223 |
$84K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,587 |
547 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
239 |
227 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
760 |
691 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
421 |
374 |
$16K |
| 73630 |
|
417 |
325 |
$7K |
| 11721 |
|
381 |
374 |
$7K |
| 73610 |
|
387 |
325 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
161 |
154 |
$6K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
229 |
97 |
$4K |
| 73140 |
|
219 |
186 |
$3K |
| 64483 |
|
27 |
25 |
$3K |
| 73562 |
|
141 |
114 |
$3K |
| 77002 |
|
43 |
38 |
$2K |
| 20610 |
|
41 |
37 |
$2K |
| 72170 |
|
84 |
80 |
$2K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
189 |
89 |
$1K |
| 73110 |
|
52 |
38 |
$905.34 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
104 |
98 |
$759.19 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
58 |
26 |
$757.02 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
33 |
13 |
$608.48 |
| 72100 |
|
29 |
24 |
$546.37 |
| 73502 |
|
12 |
12 |
$227.57 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
13 |
12 |
$115.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
52 |
50 |
$34.99 |