| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
762 |
690 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
289 |
268 |
$28K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
882 |
206 |
$24K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
912 |
205 |
$23K |
| 99443 |
|
200 |
169 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
37 |
$4K |
| 98940 |
|
76 |
37 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
245 |
237 |
$1K |
| 0031A |
|
16 |
14 |
$520.00 |
| 90656 |
|
17 |
17 |
$337.47 |
| 90688 |
|
18 |
17 |
$316.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
17 |
$301.15 |
| 91303 |
|
13 |
13 |
$0.00 |