| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96521 |
|
77 |
14 |
$145.16 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
78 |
14 |
$46.96 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
78 |
14 |
$43.50 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
77 |
14 |
$34.48 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72 |
13 |
$0.00 |