| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,074 |
1,841 |
$99K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
358 |
152 |
$11K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
245 |
108 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116 |
106 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
57 |
$4K |
| 97012 |
|
312 |
132 |
$4K |
| 98943 |
|
27 |
13 |
$656.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
18 |
$25.38 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
52 |
33 |
$17.51 |
| 77003 |
|
21 |
15 |
$0.00 |
| A4550 |
Surgical trays |
47 |
33 |
$0.00 |