| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
622 |
231 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
441 |
375 |
$31K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
248 |
195 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
92 |
$13K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
235 |
187 |
$10K |
| 20610 |
|
34 |
27 |
$2K |
| 72141 |
|
28 |
24 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
38 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
30 |
$1K |
| 73221 |
|
17 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$935.69 |
| 73564 |
|
15 |
12 |
$511.71 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
15 |
13 |
$211.83 |