| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97813 |
|
177 |
90 |
$5K |
| 20553 |
|
128 |
56 |
$4K |
| 97814 |
|
177 |
90 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76 |
73 |
$4K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
124 |
55 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
39 |
$3K |
| 27096 |
|
16 |
12 |
$2K |
| 72131 |
|
14 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$378.16 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
64 |
55 |
$239.07 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
73 |
58 |
$14.58 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
123 |
58 |
$7.42 |