| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,416 |
11,427 |
$1.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,289 |
13,241 |
$838K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,295 |
6,141 |
$547K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,554 |
3,499 |
$511K |
| 20610 |
|
5,270 |
4,241 |
$237K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
4,255 |
1,095 |
$206K |
| 73562 |
|
6,653 |
5,443 |
$169K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
4,139 |
1,029 |
$155K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,602 |
1,133 |
$146K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
520 |
484 |
$105K |
| 73630 |
|
3,274 |
2,665 |
$80K |
| 73610 |
|
2,683 |
2,259 |
$71K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
349 |
345 |
$55K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,583 |
526 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,289 |
1,207 |
$40K |
| 73110 |
|
1,163 |
955 |
$32K |
| 73030 |
|
788 |
679 |
$18K |
| 20611 |
|
202 |
168 |
$17K |
| 97016 |
|
1,348 |
396 |
$14K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
898 |
806 |
$11K |
| 73221 |
|
55 |
53 |
$11K |
| 73502 |
|
395 |
378 |
$11K |
| 97162 |
|
90 |
90 |
$8K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
119 |
112 |
$7K |
| 29075 |
|
77 |
71 |
$6K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,323 |
2,967 |
$5K |
| 73130 |
|
134 |
115 |
$5K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
536 |
479 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
40 |
38 |
$2K |
| 73100 |
|
82 |
66 |
$2K |
| 99201 |
|
52 |
51 |
$2K |
| 73501 |
|
74 |
65 |
$1K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
14 |
14 |
$1K |
| 97163 |
|
13 |
13 |
$1K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
42 |
33 |
$406.46 |
| S9999 |
Sales tax |
44 |
25 |
$349.17 |
| 97010 |
|
79 |
24 |
$184.37 |