| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,046 |
1,040 |
$32K |
| 20610 |
|
1,301 |
870 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
58 |
$2K |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
52 |
28 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$848.78 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$599.43 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
161 |
161 |
$308.07 |