| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,927 |
8,958 |
$299K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,618 |
4,224 |
$218K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,802 |
1,602 |
$170K |
| 95911 |
|
233 |
224 |
$23K |
| 97162 |
|
436 |
400 |
$19K |
| 95886 |
|
340 |
324 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
241 |
228 |
$16K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,063 |
440 |
$12K |
| 99442 |
|
616 |
590 |
$9K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,094 |
925 |
$7K |
| 97161 |
|
74 |
70 |
$3K |
| 64635 |
|
34 |
26 |
$2K |
| 64493 |
|
29 |
26 |
$2K |
| 64636 |
|
34 |
26 |
$1K |
| 77002 |
|
39 |
25 |
$1K |
| 64494 |
|
27 |
25 |
$874.53 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$482.22 |
| 20611 |
|
13 |
12 |
$440.16 |
| 99443 |
|
15 |
13 |
$403.32 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
168 |
139 |
$115.79 |
| A4550 |
Surgical trays |
2,471 |
1,927 |
$19.60 |