| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
382 |
341 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
117 |
109 |
$5K |
| 64635 |
|
19 |
14 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
28 |
$3K |
| 64636 |
|
17 |
12 |
$2K |
| 27096 |
|
13 |
12 |
$828.47 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
55 |
14 |
$175.11 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
47 |
12 |
$114.94 |
| 80305 |
|
14 |
12 |
$75.66 |