| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
895 |
473 |
$42K |
| 20553 |
|
234 |
110 |
$8K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
153 |
61 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
68 |
26 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
25 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
19 |
12 |
$499.50 |
| 80305 |
|
38 |
38 |
$354.24 |
| 96127 |
|
49 |
46 |
$258.02 |