| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,989 |
1,165 |
$167K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
852 |
376 |
$12K |
| 20610 |
|
139 |
38 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
247 |
105 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
72 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
24 |
$1K |
| 93922 |
|
14 |
12 |
$807.84 |
| 97012 |
|
46 |
25 |
$410.87 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
130 |
40 |
$72.03 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
78 |
25 |
$0.48 |
| A4550 |
Surgical trays |
266 |
78 |
$0.00 |