| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36902 |
|
345 |
285 |
$72K |
| 36215 |
|
195 |
140 |
$27K |
| 99152 |
|
874 |
677 |
$10K |
| 75710 |
|
257 |
198 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
256 |
108 |
$294.54 |
| 99153 |
Mod sedat endo service >5yrs |
47 |
38 |
$216.96 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
153 |
122 |
$93.44 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
768 |
600 |
$67.68 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
108 |
89 |
$27.33 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
748 |
591 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
15 |
12 |
$0.00 |