| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,573 |
2,467 |
$281K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,110 |
720 |
$109K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
913 |
343 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
180 |
162 |
$11K |
| 97032 |
|
348 |
130 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
50 |
$955.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$268.16 |
| 97161 |
|
12 |
12 |
$257.00 |
| 90688 |
|
14 |
14 |
$227.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$183.15 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
12 |
12 |
$24.25 |
| 1125F |
|
258 |
252 |
$0.00 |
| 1126F |
|
299 |
291 |
$0.00 |
| 3008F |
|
1,272 |
1,244 |
$0.00 |
| 3079F |
|
27 |
27 |
$0.00 |