| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,188 |
8,551 |
$586K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,893 |
2,890 |
$236K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,570 |
4,253 |
$199K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
8,803 |
3,277 |
$146K |
| 15736 |
|
114 |
112 |
$72K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
661 |
658 |
$43K |
| 73564 |
|
1,743 |
1,380 |
$35K |
| 20611 |
|
454 |
288 |
$15K |
| 99215 |
Prolong outpt/office vis |
325 |
302 |
$14K |
| 73502 |
|
460 |
411 |
$9K |
| 99024 |
|
1,658 |
1,500 |
$8K |
| 97162 |
|
288 |
287 |
$8K |
| 73560 |
|
478 |
366 |
$7K |
| 73565 |
|
377 |
357 |
$6K |
| 73610 |
|
361 |
320 |
$6K |
| 73110 |
|
286 |
226 |
$5K |
| J7327 |
Hyaluronan or derivative, monovisc, for intra-articular injection, per dose |
33 |
25 |
$5K |
| 73030 |
|
301 |
273 |
$5K |
| 72110 |
|
128 |
128 |
$3K |
| 72170 |
|
320 |
319 |
$3K |
| 73562 |
|
476 |
366 |
$3K |
| 73130 |
|
138 |
118 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
12 |
$2K |
| 73630 |
|
207 |
172 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
450 |
161 |
$1K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 97163 |
|
59 |
58 |
$996.17 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
88 |
30 |
$618.67 |
| 73501 |
|
57 |
48 |
$515.47 |
| 99222 |
Initial hospital care, per day, moderate complexity |
26 |
26 |
$484.07 |
| 99358 |
Prolong nursin fac eval 15m |
12 |
12 |
$163.58 |
| 72100 |
|
15 |
15 |
$149.86 |
| 76140 |
|
13 |
12 |
$79.27 |
| 72040 |
|
12 |
12 |
$46.53 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
20 |
20 |
$24.25 |
| 76000 |
|
25 |
25 |
$18.88 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
51 |
42 |
$17.77 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
33 |
25 |
$0.80 |
| 97124 |
|
77 |
26 |
$0.57 |
| 97799 |
|
961 |
404 |
$0.00 |
| 3288F |
|
44 |
39 |
$0.00 |