| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,601 |
3,365 |
$139K |
| 64636 |
|
298 |
285 |
$69K |
| 64635 |
|
284 |
284 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
693 |
692 |
$55K |
| 77002 |
|
1,558 |
939 |
$41K |
| 20610 |
|
1,519 |
903 |
$30K |
| 64483 |
|
321 |
319 |
$28K |
| 64493 |
|
187 |
181 |
$17K |
| 64484 |
|
321 |
319 |
$12K |
| 64494 |
|
144 |
139 |
$6K |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
142 |
70 |
$4K |
| 64495 |
|
35 |
32 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
242 |
240 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
168 |
145 |
$711.38 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
448 |
431 |
$654.32 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
282 |
269 |
$284.06 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
97 |
96 |
$199.21 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
560 |
392 |
$66.23 |
| J7328 |
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg |
56 |
24 |
$0.00 |