| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,711 |
6,242 |
$410K |
| 36475 |
|
146 |
134 |
$339K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,745 |
2,733 |
$272K |
| 20611 |
|
6,241 |
3,469 |
$204K |
| J7320 |
Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg |
2,373 |
650 |
$88K |
| 93970 |
|
404 |
404 |
$53K |
| J7329 |
Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg |
648 |
222 |
$28K |
| Q4177 |
Floweramnioflo, 0.1 cc |
35 |
28 |
$26K |
| 93925 |
|
246 |
246 |
$24K |
| 27447 |
|
12 |
12 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,115 |
968 |
$18K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
504 |
177 |
$17K |
| L1810 |
Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
208 |
162 |
$15K |
| J7332 |
Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg |
586 |
212 |
$15K |
| 29876 |
|
25 |
25 |
$14K |
| 93971 |
|
130 |
119 |
$11K |
| 73560 |
|
398 |
313 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,283 |
1,237 |
$5K |
| 73562 |
|
78 |
54 |
$756.60 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
733 |
217 |
$549.95 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
882 |
230 |
$247.15 |
| 20610 |
|
19 |
12 |
$114.41 |
| 99024 |
|
44 |
37 |
$61.59 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
151 |
55 |
$6.00 |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
21 |
14 |
$0.00 |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
46 |
16 |
$0.00 |