| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
4,148 |
3,565 |
$788K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,243 |
1,951 |
$424K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,701 |
1,544 |
$330K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,044 |
1,055 |
$166K |
| 20610 |
|
171 |
142 |
$70K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,370 |
505 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
106 |
97 |
$17K |
| 97535 |
Self-care/home management training, each 15 minutes |
222 |
127 |
$11K |
| 97161 |
|
39 |
38 |
$5K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
183 |
62 |
$5K |
| 99215 |
Prolong outpt/office vis |
30 |
28 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$3K |
| 73562 |
|
59 |
50 |
$863.22 |
| 73560 |
|
28 |
26 |
$502.44 |
| 73502 |
|
18 |
12 |
$289.59 |
| 73030 |
|
15 |
13 |
$175.33 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
144 |
131 |
$18.95 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
47 |
42 |
$11.31 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
45 |
42 |
$0.00 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
15 |
14 |
$0.00 |