| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 20611 |
|
4,708 |
1,982 |
$187K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,683 |
1,325 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,154 |
1,604 |
$89K |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
548 |
126 |
$71K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,530 |
1,551 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
382 |
329 |
$17K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
90 |
79 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
159 |
143 |
$12K |
| 99243 |
|
66 |
39 |
$7K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,591 |
1,579 |
$5K |
| J3490 |
Unclassified drugs |
36 |
28 |
$3K |
| 73562 |
|
128 |
81 |
$2K |
| 73564 |
|
48 |
28 |
$1K |