| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,761 |
4,312 |
$213K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
814 |
703 |
$58K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
389 |
369 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
426 |
404 |
$30K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
310 |
77 |
$16K |
| 20550 |
|
117 |
80 |
$4K |
| 73610 |
|
126 |
99 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
122 |
37 |
$2K |
| 73630 |
|
83 |
63 |
$2K |
| S9999 |
Sales tax |
10,052 |
8,449 |
$836.66 |
| 20610 |
|
17 |
12 |
$669.99 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
314 |
292 |
$582.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
503 |
458 |
$349.91 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
81 |
78 |
$136.32 |
| 99072 |
|
26 |
19 |
$72.12 |