| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,660 |
3,429 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,182 |
1,580 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
805 |
574 |
$11K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
755 |
202 |
$7K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
53 |
37 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
399 |
288 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
95 |
84 |
$4K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
15 |
12 |
$1K |
| 62323 |
|
53 |
49 |
$984.81 |
| 73610 |
|
117 |
75 |
$810.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
91 |
24 |
$754.00 |
| 73630 |
|
124 |
77 |
$712.00 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
30 |
19 |
$445.60 |
| 73562 |
|
32 |
24 |
$346.50 |
| 73564 |
|
18 |
15 |
$345.00 |
| 73110 |
|
39 |
25 |
$297.00 |
| 80305 |
|
280 |
239 |
$230.34 |
| 73130 |
|
53 |
26 |
$180.00 |
| 20610 |
|
98 |
67 |
$108.40 |
| 73030 |
|
32 |
14 |
$85.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
25 |
$70.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
98 |
81 |
$48.77 |
| A4565 |
Slings |
17 |
14 |
$34.90 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
30 |
24 |
$15.10 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
162 |
38 |
$0.00 |