| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
673 |
637 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
328 |
328 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
457 |
432 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
254 |
254 |
$14K |
| 20610 |
|
837 |
385 |
$8K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
524 |
209 |
$7K |
| 80305 |
|
130 |
128 |
$922.66 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
74 |
70 |
$47.21 |