| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
6,993 |
2,706 |
$170K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,854 |
766 |
$47K |
| 97014 |
|
3,261 |
1,268 |
$29K |
| 97016 |
|
1,969 |
774 |
$17K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
452 |
172 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
215 |
154 |
$8K |
| L0637 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
17 |
12 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$977.54 |
| 20553 |
|
27 |
12 |
$973.80 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
479 |
201 |
$870.19 |
| 97012 |
|
72 |
40 |
$791.16 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
14 |
13 |
$327.34 |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
14 |
13 |
$205.02 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
53 |
13 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
53 |
13 |
$0.00 |