| Code | Description | Claims | Beneficiaries | Total Paid |
| 20611 |
|
2,305 |
1,052 |
$227K |
| J7320 |
Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg |
2,895 |
678 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,446 |
4,308 |
$108K |
| 99441 |
|
751 |
686 |
$17K |
| 97124 |
|
1,163 |
389 |
$9K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
786 |
232 |
$7K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
1,157 |
388 |
$6K |
| 97035 |
|
1,153 |
388 |
$6K |
| 90688 |
|
199 |
199 |
$4K |
| J7329 |
Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg |
42 |
12 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,173 |
391 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
27 |
27 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
197 |
197 |
$1K |
| 72100 |
|
89 |
88 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
111 |
110 |
$720.38 |
| 71045 |
Radiologic examination, chest; single view |
155 |
152 |
$663.88 |
| 73560 |
|
68 |
66 |
$419.96 |
| 93000 |
|
15 |
15 |
$100.47 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
39 |
$78.81 |
| 93880 |
|
27 |
27 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
16 |
16 |
$0.00 |
| 77080 |
|
16 |
16 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
16 |
16 |
$0.00 |