| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
255 |
219 |
$8K |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
113 |
35 |
$5K |
| 20610 |
|
191 |
92 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
75 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
17 |
$1K |
| 73630 |
|
51 |
38 |
$816.17 |
| 73610 |
|
14 |
13 |
$295.20 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
50 |
38 |
$288.21 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
16 |
15 |
$251.05 |