| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
552 |
251 |
$19K |
| J7327 |
Hyaluronan or derivative, monovisc, for intra-articular injection, per dose |
34 |
28 |
$5K |
| 20611 |
|
1,847 |
1,072 |
$3K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
182 |
81 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
821 |
704 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,160 |
788 |
$2K |
| 99348 |
|
316 |
225 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
409 |
367 |
$1K |
| 99349 |
|
311 |
292 |
$576.29 |
| 20610 |
|
21 |
12 |
$191.08 |
| 99345 |
Prolong home eval add 15m |
13 |
13 |
$136.40 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$66.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
28 |
$25.65 |
| 99344 |
|
13 |
13 |
$0.00 |