| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
166 |
71 |
$12K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
442 |
357 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
422 |
328 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$2K |
| 20610 |
|
83 |
43 |
$122.87 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
118 |
96 |
$20.33 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
19 |
18 |
$18.40 |