| Code | Description | Claims | Beneficiaries | Total Paid |
| 20611 |
|
293 |
175 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
234 |
194 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
136 |
126 |
$10K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
428 |
92 |
$8K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
102 |
38 |
$6K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
223 |
77 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
115 |
102 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
30 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
86 |
76 |
$894.82 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
71 |
24 |
$688.30 |
| 73564 |
|
56 |
40 |
$504.62 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
52 |
46 |
$304.76 |
| 97010 |
|
28 |
12 |
$0.00 |