| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,556 |
5,507 |
$60K |
| 20611 |
|
4,106 |
2,331 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,449 |
1,312 |
$30K |
| J7328 |
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg |
243 |
135 |
$4K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,078 |
872 |
$3K |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
97 |
58 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
184 |
174 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
232 |
86 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
16 |
14 |
$1K |
| 99442 |
|
73 |
72 |
$505.47 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$411.26 |
| 20552 |
|
39 |
25 |
$405.01 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
305 |
282 |
$337.32 |
| 73562 |
|
33 |
26 |
$226.11 |
| 72170 |
|
16 |
12 |
$107.83 |
| 20610 |
|
23 |
13 |
$56.66 |
| 73030 |
|
13 |
13 |
$37.38 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
28 |
27 |
$31.21 |