| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
1,004 |
352 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,484 |
1,381 |
$7K |
| 20610 |
|
3,342 |
1,497 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,722 |
2,413 |
$3K |
| 77002 |
|
2,315 |
975 |
$2K |
| 93923 |
|
66 |
66 |
$2K |
| 99349 |
|
100 |
100 |
$1K |
| 27096 |
|
478 |
381 |
$1K |
| 95886 |
|
358 |
325 |
$830.30 |
| 64495 |
|
124 |
91 |
$394.46 |
| 97810 |
|
51 |
17 |
$263.19 |
| 99442 |
|
149 |
147 |
$189.99 |
| 97811 |
|
51 |
17 |
$130.22 |
| 95910 |
|
81 |
80 |
$38.39 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
41 |
$0.00 |
| 93970 |
|
53 |
53 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$0.00 |
| 64418 |
|
29 |
28 |
$0.00 |
| 64493 |
|
160 |
120 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
57 |
41 |
$0.00 |
| 64494 |
|
160 |
120 |
$0.00 |
| 64445 |
|
53 |
51 |
$0.00 |