| Code | Description | Claims | Beneficiaries | Total Paid |
| 76881 |
|
151 |
140 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
340 |
300 |
$25K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
87 |
87 |
$4K |
| 20610 |
|
29 |
14 |
$2K |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
83 |
61 |
$1.82 |
| J7327 |
Hyaluronan or derivative, monovisc, for intra-articular injection, per dose |
14 |
13 |
$0.00 |
| J1740 |
Injection, ibandronate sodium, 1 mg |
88 |
88 |
$0.00 |