| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
5,748 |
5,551 |
$52K |
| 99213 |
|
6,583 |
6,220 |
$48K |
| 20610 |
|
3,672 |
2,891 |
$47K |
| 99204 |
|
1,520 |
1,473 |
$25K |
| 99203 |
|
1,050 |
1,014 |
$24K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,419 |
2,224 |
$5K |
| J7328 |
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg |
311 |
176 |
$2K |
| 99243 |
|
298 |
280 |
$1K |
| 97110 |
|
2,151 |
807 |
$911.90 |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
120 |
117 |
$834.05 |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
62 |
27 |
$807.82 |
| 97140 |
|
2,085 |
783 |
$710.78 |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
81 |
56 |
$516.40 |
| 29405 |
|
14 |
12 |
$175.64 |
| 97163 |
|
123 |
122 |
$0.00 |
| 99244 |
|
111 |
101 |
$0.00 |