| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,943 |
2,693 |
$185K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
705 |
705 |
$90K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
753 |
752 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
718 |
680 |
$63K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
27 |
27 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
41 |
15 |
$2K |
| 73564 |
|
25 |
24 |
$962.66 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
19 |
18 |
$218.81 |
| 73630 |
|
13 |
12 |
$204.97 |