| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,496 |
1,465 |
$41K |
| 20610 |
|
842 |
598 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
231 |
230 |
$8K |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
245 |
135 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
229 |
227 |
$581.74 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$378.17 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
18 |
18 |
$22.80 |