| Code | Description | Claims | Beneficiaries | Total Paid |
| J7326 |
Hyaluronan or derivative, gel-one, for intra-articular injection, per dose |
55 |
38 |
$45K |
| 20610 |
|
1,226 |
946 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
507 |
455 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
560 |
448 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
122 |
120 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
109 |
100 |
$5K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
632 |
563 |
$4K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
130 |
112 |
$514.57 |
| 73564 |
|
21 |
15 |
$279.12 |