| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,746 |
1,551 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,254 |
1,117 |
$33K |
| 20611 |
|
745 |
496 |
$19K |
| 98925 |
|
498 |
437 |
$6K |
| J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
24 |
12 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
24 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$819.07 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
171 |
146 |
$728.74 |
| 20610 |
|
22 |
17 |
$640.04 |
| 73562 |
|
36 |
25 |
$638.61 |
| 99072 |
|
38 |
35 |
$0.00 |