| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 20610 |
|
4,599 |
2,158 |
$199K |
| 77002 |
|
4,615 |
2,160 |
$132K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
385 |
191 |
$31K |
| 76881 |
|
548 |
260 |
$18K |
| 73564 |
|
527 |
255 |
$8K |
| J7328 |
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg |
42 |
24 |
$5K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
303 |
147 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,334 |
1,775 |
$3K |
| 20611 |
|
74 |
57 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
233 |
120 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
106 |
94 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
126 |
105 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
25 |
$919.10 |
| 76882 |
|
50 |
30 |
$548.69 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
25 |
$522.81 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
239 |
167 |
$461.26 |
| 99426 |
|
65 |
50 |
$155.34 |