| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77002 |
|
5,825 |
2,087 |
$158K |
| 20610 |
|
4,989 |
1,895 |
$110K |
| J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
816 |
322 |
$46K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
1,130 |
302 |
$43K |
| 27369 |
|
689 |
223 |
$24K |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
9,186 |
1,793 |
$13K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
2,128 |
306 |
$4K |
| 73580 |
|
31 |
24 |
$1K |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
45 |
14 |
$903.44 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
45 |
$681.35 |
| 99426 |
|
37 |
37 |
$271.24 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
627 |
359 |
$259.90 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
29 |
24 |
$87.47 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
497 |
131 |
$5.96 |