| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,122 |
1,913 |
$87K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
940 |
868 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
49 |
$4K |
| 99243 |
|
27 |
26 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
56 |
28 |
$2K |
| 73110 |
|
50 |
36 |
$941.74 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
26 |
13 |
$869.01 |
| 20610 |
|
14 |
12 |
$462.69 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
63 |
49 |
$451.78 |
| 11719 |
|
28 |
25 |
$176.66 |
| 11720 |
|
14 |
12 |
$125.94 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
12 |
12 |
$4.44 |