| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
112 |
110 |
$14K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
13 |
13 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
191 |
186 |
$722.25 |
| J2704 |
Injection, propofol, 10 mg |
4,206 |
3,872 |
$285.38 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,047 |
3,193 |
$102.08 |
| 82947 |
|
72 |
60 |
$68.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,808 |
2,611 |
$36.62 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,736 |
2,608 |
$14.69 |
| J1644 |
Injection, heparin sodium, per 1000 units |
982 |
730 |
$10.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
185 |
160 |
$8.33 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,247 |
3,020 |
$8.25 |
| J1630 |
Injection, haloperidol, up to 5 mg |
1,209 |
1,152 |
$0.00 |
| J3490 |
Unclassified drugs |
1,137 |
1,001 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
681 |
563 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
184 |
173 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,455 |
1,089 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
807 |
731 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$0.00 |
| J7799 |
Noc drugs, other than inhalation drugs, administered through dme |
15 |
13 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
25 |
24 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
453 |
415 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
823 |
750 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
333 |
308 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
397 |
373 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
277 |
273 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
43 |
37 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
56 |
55 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
424 |
420 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
77 |
75 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
76 |
51 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
24 |
14 |
$0.00 |