| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,967 |
6,089 |
$790K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,650 |
1,566 |
$262K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,668 |
1,788 |
$235K |
| 76881 |
|
2,420 |
1,784 |
$122K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,531 |
1,207 |
$80K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
113 |
108 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
390 |
348 |
$31K |
| 99215 |
Prolong outpt/office vis |
197 |
159 |
$29K |
| 97161 |
|
461 |
312 |
$27K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,187 |
535 |
$24K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,075 |
446 |
$23K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
86 |
82 |
$16K |
| 20611 |
|
117 |
64 |
$10K |
| 97535 |
Self-care/home management training, each 15 minutes |
349 |
185 |
$9K |
| 99417 |
Prolong home eval add 15m |
303 |
242 |
$6K |
| 76882 |
|
232 |
190 |
$6K |
| 73560 |
|
265 |
149 |
$4K |
| 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 |
53 |
36 |
$4K |
| 99205 |
Prolong outpt/office vis |
19 |
14 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$3K |
| 72100 |
|
114 |
100 |
$3K |
| 73565 |
|
102 |
95 |
$3K |
| 29700 |
|
43 |
27 |
$2K |
| 73610 |
|
56 |
41 |
$1K |
| 73110 |
|
50 |
24 |
$1K |
| 73630 |
|
48 |
36 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
186 |
133 |
$981.67 |
| 76942 |
|
16 |
12 |
$771.99 |
| 97164 |
|
16 |
12 |
$755.04 |
| 99070 |
|
146 |
131 |
$614.43 |
| 72040 |
|
12 |
12 |
$339.81 |
| 97760 |
|
64 |
58 |
$0.00 |