| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,790 |
4,233 |
$273K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,498 |
2,460 |
$221K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,258 |
657 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
318 |
291 |
$22K |
| A4590 |
Special casting material (e.g., fiberglass) |
119 |
100 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
233 |
221 |
$7K |
| S9999 |
Sales tax |
610 |
438 |
$7K |
| 73560 |
|
293 |
245 |
$7K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
80 |
25 |
$2K |
| 73110 |
|
53 |
45 |
$1K |
| 73130 |
|
14 |
13 |
$369.99 |
| 73610 |
|
15 |
13 |
$367.77 |
| 97165 |
|
12 |
12 |
$236.46 |