| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64635 |
|
3,885 |
1,817 |
$1.06M |
| 64493 |
|
5,102 |
1,692 |
$649K |
| 62323 |
|
1,909 |
1,214 |
$229K |
| G0260 |
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography |
761 |
284 |
$107K |
| 62311 |
|
294 |
241 |
$69K |
| 64490 |
|
326 |
89 |
$38K |
| 64483 |
|
217 |
130 |
$36K |
| 64633 |
|
82 |
40 |
$22K |
| 62321 |
|
118 |
64 |
$16K |
| 62310 |
|
52 |
41 |
$11K |
| 64640 |
|
201 |
98 |
$5K |
| 20610 |
|
341 |
179 |
$4K |
| 64451 |
|
46 |
14 |
$4K |
| 64484 |
|
102 |
65 |
$3K |
| 64636 |
|
1,750 |
981 |
$3K |
| 64494 |
|
1,723 |
683 |
$2K |
| 64450 |
|
80 |
12 |
$1K |
| J1738 |
Injection, meloxicam, 1 mg |
63 |
43 |
$180.00 |
| G8915 |
Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc |
1,458 |
1,179 |
$0.04 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
1,459 |
1,179 |
$0.04 |
| G8911 |
Patient documented not to have experienced a fall within ambulatory surgical center |
1,453 |
1,177 |
$0.04 |
| G8913 |
Patient documented not to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event |
1,464 |
1,185 |
$0.04 |
| G8909 |
Patient documented not to have received a burn prior to discharge |
1,459 |
1,180 |
$0.04 |
| 64495 |
|
1,202 |
490 |
$0.00 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
722 |
643 |
$0.00 |
| 64634 |
|
14 |
12 |
$0.00 |