| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,633 |
10,864 |
$337K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,289 |
7,047 |
$333K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,149 |
5,037 |
$231K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,828 |
3,221 |
$216K |
| 73630 |
|
2,322 |
1,734 |
$33K |
| 20610 |
|
1,446 |
1,063 |
$32K |
| 73610 |
|
1,727 |
1,271 |
$20K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,210 |
1,012 |
$19K |
| 99152 |
|
918 |
772 |
$17K |
| 64483 |
|
155 |
116 |
$15K |
| 73110 |
|
655 |
499 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
714 |
560 |
$11K |
| 73564 |
|
388 |
297 |
$8K |
| 73030 |
|
625 |
491 |
$7K |
| 73130 |
|
306 |
214 |
$5K |
| 29075 |
|
84 |
62 |
$5K |
| 72100 |
|
308 |
255 |
$4K |
| 73140 |
|
278 |
211 |
$4K |
| 99215 |
Prolong outpt/office vis |
57 |
51 |
$3K |
| 73502 |
|
143 |
131 |
$2K |
| 73562 |
|
52 |
40 |
$1K |
| 72110 |
|
45 |
36 |
$1K |
| 97161 |
|
27 |
25 |
$702.43 |
| 20611 |
|
13 |
13 |
$618.78 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
12 |
$423.26 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
702 |
534 |
$342.19 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
583 |
486 |
$253.48 |
| 73501 |
|
14 |
12 |
$119.98 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
135 |
109 |
$103.80 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
142 |
114 |
$81.24 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
72 |
43 |
$75.56 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
295 |
225 |
$35.15 |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
13 |
13 |
$0.00 |