| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64483 |
|
923 |
891 |
$45K |
| 77002 |
|
1,668 |
1,198 |
$39K |
| 64636 |
|
257 |
230 |
$28K |
| 20610 |
|
1,624 |
1,135 |
$25K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
736 |
323 |
$25K |
| 64635 |
|
270 |
242 |
$24K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
875 |
411 |
$23K |
| 64484 |
|
910 |
876 |
$20K |
| 01936 |
|
211 |
191 |
$19K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
725 |
339 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,154 |
1,101 |
$17K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
432 |
205 |
$13K |
| 97162 |
|
126 |
126 |
$12K |
| 64493 |
|
101 |
81 |
$5K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,798 |
1,621 |
$4K |
| 64494 |
|
101 |
81 |
$2K |
| J7325 |
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg |
59 |
25 |
$2K |
| 64495 |
|
68 |
57 |
$1K |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
31 |
18 |
$1K |
| 76942 |
|
31 |
30 |
$875.12 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$799.50 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
366 |
339 |
$523.44 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
227 |
208 |
$318.12 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$180.97 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$76.80 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
551 |
497 |
$38.95 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
3,089 |
2,460 |
$15.86 |
| J7328 |
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg |
607 |
247 |
$0.00 |