| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,251 |
1,199 |
$28K |
| 20610 |
|
2,499 |
1,534 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56 |
56 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
28 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
59 |
$1K |
| 99442 |
|
31 |
28 |
$647.16 |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
37 |
16 |
$434.97 |
| 99441 |
|
15 |
14 |
$121.11 |