| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,052 |
10,421 |
$512K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,198 |
2,168 |
$192K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,752 |
1,849 |
$128K |
| 99243 |
|
1,049 |
1,040 |
$93K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,940 |
1,486 |
$76K |
| 73630 |
|
989 |
860 |
$18K |
| 73610 |
|
672 |
605 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
222 |
208 |
$14K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
83 |
83 |
$12K |
| 72110 |
|
358 |
353 |
$11K |
| 64721 |
|
42 |
41 |
$9K |
| 99242 |
|
115 |
114 |
$8K |
| 73110 |
|
274 |
238 |
$7K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
39 |
39 |
$6K |
| 29405 |
|
78 |
64 |
$4K |
| 20610 |
|
87 |
75 |
$3K |
| 73564 |
|
91 |
74 |
$3K |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
65 |
51 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
67 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
25 |
$2K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
12 |
12 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
12 |
$1K |
| 97161 |
|
13 |
13 |
$721.22 |
| 73560 |
|
27 |
24 |
$560.85 |
| 73130 |
|
17 |
12 |
$434.15 |
| 73030 |
|
14 |
12 |
$267.96 |
| 99072 |
|
1,237 |
1,041 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
16 |
15 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
14 |
13 |
$0.00 |
| 95832 |
|
14 |
14 |
$0.00 |