| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,713 |
3,552 |
$255K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,267 |
1,265 |
$126K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,119 |
2,113 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,282 |
2,220 |
$69K |
| 20611 |
|
236 |
145 |
$8K |
| 72158 |
|
365 |
364 |
$6K |
| 73562 |
|
167 |
127 |
$5K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
44 |
12 |
$720.73 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
84 |
78 |
$339.56 |
| 95886 |
|
88 |
86 |
$211.84 |
| 95911 |
|
27 |
27 |
$0.00 |
| 99024 |
|
15 |
15 |
$0.00 |