| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77002 |
|
3,820 |
1,731 |
$106K |
| J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
587 |
262 |
$65K |
| 20610 |
|
3,119 |
1,353 |
$52K |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
2,887 |
796 |
$25K |
| 27370 |
|
326 |
160 |
$15K |
| 27369 |
|
167 |
92 |
$7K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,229 |
344 |
$6K |
| J7320 |
Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg |
24 |
12 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
103 |
102 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$945.87 |
| 73560 |
|
35 |
27 |
$709.16 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
16 |
13 |
$369.66 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
194 |
103 |
$96.34 |
| 99426 |
|
13 |
13 |
$0.00 |