| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,205 |
2,169 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,309 |
2,288 |
$29K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,206 |
2,100 |
$10K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
456 |
193 |
$8K |
| 80053 |
Comprehensive metabolic panel |
1,867 |
1,820 |
$4K |
| 20610 |
|
728 |
547 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,294 |
2,234 |
$3K |
| 77085 |
|
655 |
632 |
$2K |
| 96401 |
|
527 |
181 |
$2K |
| 86140 |
|
2,391 |
2,328 |
$2K |
| 99000 |
|
150 |
149 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,724 |
1,666 |
$788.91 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
331 |
307 |
$509.34 |
| 85651 |
|
2,027 |
1,969 |
$457.19 |
| 81003 |
|
685 |
661 |
$243.32 |
| 20611 |
|
244 |
111 |
$191.95 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
89 |
78 |
$132.26 |
| 80076 |
|
406 |
396 |
$14.97 |
| 82565 |
|
405 |
395 |
$9.05 |
| 86431 |
|
14 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,862 |
1,805 |
$0.00 |
| J9250 |
Methotrexate sodium, 5 mg |
367 |
126 |
$0.00 |