| Code | Description | Claims | Beneficiaries | Total Paid |
| 20610 |
|
1,436 |
587 |
$66K |
| 27370 |
|
675 |
592 |
$65K |
| J7328 |
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg |
677 |
235 |
$39K |
| 76881 |
|
709 |
385 |
$18K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
1,244 |
325 |
$10K |
| 73580 |
|
1,285 |
619 |
$5K |
| J7325 |
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg |
97 |
38 |
$3K |
| 77002 |
|
1,366 |
588 |
$2K |
| 1101F |
|
907 |
426 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
69 |
68 |
$588.24 |
| 27369 |
|
28 |
22 |
$572.83 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
770 |
371 |
$51.99 |
| 73560 |
|
53 |
27 |
$34.24 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
730 |
349 |
$16.30 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
1,346 |
589 |
$0.01 |
| 1006F |
|
883 |
454 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
30 |
30 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
814 |
423 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
311 |
150 |
$0.00 |
| 4040F |
|
885 |
415 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
86 |
70 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
14 |
14 |
$0.00 |