| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67 |
43 |
$37.41 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
79 |
30 |
$17.87 |
| 97750 |
|
79 |
30 |
$11.16 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
81 |
30 |
$0.00 |
| 97035 |
|
71 |
30 |
$0.00 |
| 99429 |
|
118 |
101 |
$0.00 |
| 97032 |
|
80 |
30 |
$0.00 |
| 95922 |
|
27 |
12 |
$0.00 |
| 97010 |
|
78 |
30 |
$0.00 |
| 93922 |
|
27 |
12 |
$0.00 |
| 20553 |
|
28 |
13 |
$0.00 |
| 20610 |
|
28 |
13 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
80 |
30 |
$0.00 |
| 95921 |
|
27 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
12 |
$0.00 |