| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
715 |
183 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,071 |
973 |
$24K |
| 97032 |
|
4,596 |
1,379 |
$15K |
| 76942 |
|
816 |
208 |
$11K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
4,408 |
1,334 |
$9K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,735 |
1,426 |
$9K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,615 |
1,152 |
$8K |
| 97814 |
|
459 |
154 |
$6K |
| 97813 |
|
459 |
154 |
$4K |
| 97035 |
|
455 |
208 |
$2K |
| 20610 |
|
464 |
154 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
344 |
255 |
$843.46 |
| 20611 |
|
28 |
12 |
$676.28 |
| A4452 |
Tape, waterproof, per 18 square inches |
390 |
138 |
$260.52 |
| 20552 |
|
12 |
12 |
$187.80 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
69 |
51 |
$61.44 |
| 99070 |
|
686 |
237 |
$0.00 |