| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
659 |
582 |
$14K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,078 |
334 |
$10K |
| 99490 |
Ccm add 20min |
511 |
504 |
$9K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
589 |
175 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
576 |
168 |
$1K |
| 0002A |
|
36 |
30 |
$1K |
| 0001A |
|
36 |
30 |
$1K |
| 0012A |
|
44 |
35 |
$1K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
255 |
92 |
$982.67 |
| 0004A |
|
22 |
21 |
$844.44 |
| 0011A |
|
39 |
31 |
$793.88 |
| 0072A |
|
18 |
18 |
$680.08 |
| 0071A |
|
18 |
18 |
$640.08 |
| 0064A |
|
19 |
15 |
$360.00 |
| 97010 |
|
39 |
14 |
$241.88 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$215.82 |
| 90694 |
|
239 |
139 |
$153.65 |
| 90662 |
|
45 |
26 |
$130.52 |
| G0008 |
Administration of influenza virus vaccine |
337 |
180 |
$128.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
48 |
$105.18 |
| 97162 |
|
12 |
12 |
$86.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
372 |
220 |
$8.08 |
| 90653 |
|
99 |
61 |
$0.00 |
| 91300 |
|
21 |
21 |
$0.00 |
| 91307 |
|
46 |
44 |
$0.00 |