| Code | Description | Claims | Beneficiaries | Total Paid |
| 96521 |
|
321 |
103 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
273 |
94 |
$23K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
321 |
103 |
$15K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
321 |
103 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
193 |
53 |
$8K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
330 |
108 |
$8K |
| 99215 |
Prolong outpt/office vis |
64 |
30 |
$7K |
| 93923 |
|
54 |
24 |
$5K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
223 |
86 |
$4K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
107 |
28 |
$4K |
| 77002 |
|
110 |
28 |
$4K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
192 |
72 |
$4K |
| 20610 |
|
110 |
28 |
$3K |
| 95923 |
|
27 |
24 |
$2K |
| 95921 |
|
27 |
24 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
34 |
15 |
$550.62 |
| 82962 |
|
155 |
51 |
$0.00 |