| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99223 |
Prolong inpt eval add15 m |
825 |
600 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,490 |
2,817 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,614 |
2,254 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
539 |
428 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
316 |
255 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
70 |
41 |
$2K |
| 73502 |
|
151 |
124 |
$935.69 |
| 20610 |
|
264 |
197 |
$698.15 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
332 |
93 |
$559.35 |
| 99221 |
|
22 |
12 |
$511.39 |
| 73610 |
|
49 |
37 |
$489.37 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
273 |
236 |
$400.15 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
22 |
13 |
$208.44 |
| 73564 |
|
59 |
39 |
$122.45 |
| 73030 |
|
64 |
50 |
$118.14 |
| 73562 |
|
29 |
25 |
$105.64 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
70 |
27 |
$53.16 |
| 73630 |
|
83 |
55 |
$19.60 |
| 99072 |
|
244 |
170 |
$0.00 |
| 72100 |
|
13 |
13 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
182 |
161 |
$0.00 |
| 99253 |
|
21 |
13 |
$0.00 |