| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64493 |
|
2,591 |
1,464 |
$364K |
| 64635 |
|
535 |
354 |
$192K |
| 64495 |
|
1,690 |
1,055 |
$114K |
| 64636 |
|
752 |
352 |
$69K |
| 64494 |
|
2,577 |
1,457 |
$66K |
| 64483 |
|
411 |
150 |
$34K |
| 64490 |
|
255 |
124 |
$32K |
| 36475 |
|
33 |
13 |
$23K |
| 62323 |
|
68 |
38 |
$8K |
| 64491 |
|
180 |
97 |
$3K |
| 20610 |
|
110 |
73 |
$2K |
| 27096 |
|
62 |
40 |
$1K |
| 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 |
331 |
313 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
61 |
52 |
$0.00 |
| 77002 |
|
134 |
99 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
83 |
55 |
$0.00 |
| G0260 |
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography |
43 |
28 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
176 |
133 |
$0.00 |
| 64492 |
|
37 |
12 |
$0.00 |