| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,368 |
912 |
$66K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,942 |
784 |
$63K |
| 97032 |
|
3,378 |
901 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
464 |
439 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
154 |
149 |
$13K |
| 95886 |
|
13 |
12 |
$2K |
| 92002 |
|
21 |
21 |
$567.00 |
| 92015 |
Determination of refractive state |
22 |
22 |
$486.00 |
| V2020 |
Frames, purchases |
18 |
18 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$0.00 |