| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,254 |
1,002 |
$15K |
| 20611 |
|
1,457 |
764 |
$2K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
138 |
60 |
$408.04 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
134 |
93 |
$313.03 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
177 |
139 |
$278.29 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
118 |
105 |
$166.19 |