| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 20611 |
|
1,143 |
465 |
$39K |
| 77002 |
|
310 |
132 |
$9K |
| 20610 |
|
395 |
172 |
$7K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
190 |
68 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
238 |
127 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
39 |
12 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
593 |
305 |
$1K |
| E1811 |
Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories |
13 |
12 |
$331.51 |
| J7320 |
Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg |
41 |
14 |
$257.00 |