| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,862 |
1,625 |
$229K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
761 |
710 |
$81K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,537 |
1,256 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
811 |
773 |
$53K |
| 99215 |
Prolong outpt/office vis |
212 |
191 |
$29K |
| 97161 |
|
407 |
406 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
45 |
$7K |
| 97164 |
|
169 |
169 |
$6K |
| 99205 |
Prolong outpt/office vis |
29 |
29 |
$6K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
1,283 |
432 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$3K |
| A6218 |
Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
83 |
78 |
$191.36 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
67 |
65 |
$134.26 |
| 97014 |
|
52 |
14 |
$0.00 |