| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
671 |
626 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
905 |
856 |
$15K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
55 |
55 |
$6K |
| 72141 |
|
14 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
37 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
30 |
$873.12 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
89 |
87 |
$243.01 |
| 73030 |
|
13 |
12 |
$131.92 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
13 |
12 |
$19.58 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
154 |
64 |
$18.08 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
30 |
12 |
$0.00 |