| Code | Description | Claims | Beneficiaries | Total Paid |
| 20610 |
|
4,290 |
1,359 |
$19K |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
1,444 |
341 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,893 |
1,317 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
351 |
230 |
$984.29 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,001 |
1,093 |
$922.22 |
| 20553 |
|
343 |
240 |
$256.44 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
386 |
249 |
$21.14 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
193 |
124 |
$13.68 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
184 |
158 |
$0.00 |