| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,058 |
2,056 |
$93K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,002 |
4,850 |
$73K |
| 20611 |
|
2,703 |
1,642 |
$57K |
| 62323 |
|
756 |
744 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,561 |
1,543 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
989 |
987 |
$35K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
854 |
350 |
$14K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
4,219 |
3,592 |
$12K |
| 64493 |
|
219 |
189 |
$10K |
| 77002 |
|
328 |
284 |
$6K |
| 20610 |
|
370 |
324 |
$6K |
| 64494 |
|
219 |
189 |
$5K |
| 76942 |
|
181 |
167 |
$3K |
| 64635 |
|
14 |
14 |
$2K |
| 20551 |
|
93 |
87 |
$1K |
| 64636 |
|
14 |
14 |
$987.04 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$461.51 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
251 |
223 |
$449.64 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
26 |
26 |
$0.00 |