| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 20611 |
|
1,491 |
1,050 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,501 |
1,459 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,805 |
1,489 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
177 |
177 |
$12K |
| 99205 |
Prolong outpt/office vis |
74 |
74 |
$2K |
| 73564 |
|
278 |
266 |
$557.82 |
| J7329 |
Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg |
20 |
14 |
$319.05 |
| 73502 |
|
13 |
13 |
$86.88 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
67 |
55 |
$75.95 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
232 |
219 |
$11.02 |