| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
269 |
123 |
$6K |
| 20610 |
|
393 |
246 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
425 |
278 |
$935.65 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
363 |
362 |
$404.04 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
57 |
$48.82 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
122 |
122 |
$9.75 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
431 |
284 |
$0.09 |