| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,799 |
4,445 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,209 |
2,909 |
$76K |
| 20610 |
|
4,831 |
3,480 |
$46K |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
939 |
487 |
$37K |
| 76881 |
|
1,480 |
1,319 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
904 |
891 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
496 |
490 |
$16K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,682 |
594 |
$12K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
2,134 |
2,043 |
$8K |
| J7327 |
Hyaluronan or derivative, monovisc, for intra-articular injection, per dose |
34 |
34 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
57 |
53 |
$2K |
| 73560 |
|
1,368 |
856 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
617 |
595 |
$1K |
| 73562 |
|
414 |
337 |
$1K |
| 72100 |
|
483 |
471 |
$951.45 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,141 |
369 |
$903.73 |
| 72170 |
|
808 |
800 |
$869.18 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
62 |
28 |
$753.17 |
| 20611 |
|
119 |
110 |
$681.05 |
| 97161 |
|
13 |
13 |
$568.17 |
| 73565 |
|
531 |
530 |
$402.74 |
| 97164 |
|
12 |
12 |
$401.60 |
| 73030 |
|
408 |
342 |
$305.96 |
| 20550 |
|
44 |
39 |
$221.05 |
| 76942 |
|
81 |
81 |
$171.93 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
459 |
449 |
$149.23 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
68 |
65 |
$114.98 |
| 73502 |
|
77 |
76 |
$63.68 |
| 72040 |
|
12 |
12 |
$36.70 |
| 76000 |
|
53 |
51 |
$4.70 |
| 72275 |
|
14 |
14 |
$0.00 |