| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L0650 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
166 |
121 |
$107K |
| 98940 |
|
11,601 |
2,570 |
$104K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
877 |
691 |
$39K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,032 |
776 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
728 |
534 |
$21K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,068 |
259 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
51 |
$6K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,291 |
242 |
$5K |
| 72114 |
|
157 |
122 |
$4K |
| 97161 |
|
185 |
145 |
$3K |
| 97012 |
|
301 |
100 |
$3K |
| 97014 |
|
209 |
57 |
$2K |
| 72052 |
|
48 |
46 |
$2K |
| 72110 |
|
14 |
13 |
$438.41 |
| 72070 |
|
13 |
12 |
$242.17 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
197 |
24 |
$196.89 |
| G8942 |
Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment |
135 |
38 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
135 |
38 |
$0.00 |