| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,327 |
4,847 |
$356K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,346 |
1,251 |
$120K |
| 20610 |
|
2,231 |
1,773 |
$119K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
870 |
870 |
$113K |
| 99205 |
Prolong outpt/office vis |
189 |
189 |
$27K |
| 73564 |
|
473 |
425 |
$16K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
665 |
457 |
$15K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
931 |
890 |
$7K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
829 |
810 |
$4K |
| 73630 |
|
93 |
93 |
$2K |
| 73610 |
|
18 |
16 |
$351.71 |
| 73560 |
|
13 |
12 |
$189.82 |
| 99024 |
|
368 |
330 |
$0.00 |