| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,598 |
2,277 |
$103K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
574 |
187 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
325 |
305 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
83 |
$6K |
| 97113 |
|
41 |
13 |
$2K |
| 95886 |
|
29 |
27 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
64 |
25 |
$668.75 |
| 97162 |
|
12 |
12 |
$571.51 |
| 80305 |
|
46 |
42 |
$141.98 |
| J3490 |
Unclassified drugs |
14 |
14 |
$29.84 |