| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 170 | $100 | $17K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 240 | $60 | $13.9K |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 20 | $510 | $12.2K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 120 | $60 | $7.9K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 80 | $80 | $5.9K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 30 | $80 | $2.3K |
| 73562 | In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 40 | $30 | $1.1K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 30 | $30 | $830 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 170 | $10 | $830 |
| J1020 | Injection, methylprednisolone acetate, 20 mg | 130 | $1 | $520 |