| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
165 |
158 |
$90K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
28 |
27 |
$23K |
| J3490 |
Unclassified drugs |
11,703 |
4,720 |
$6K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
88 |
63 |
$3K |
| C9399 |
Unclassified drugs or biologicals |
124 |
92 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
600 |
566 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
292 |
208 |
$837.52 |
| C1769 |
Guide wire |
12 |
12 |
$697.74 |
| 88342 |
|
93 |
86 |
$674.70 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
261 |
188 |
$662.17 |
| J7999 |
Compounded drug, not otherwise classified |
3,798 |
1,723 |
$538.85 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
130 |
120 |
$321.36 |
| 83735 |
|
132 |
96 |
$298.30 |
| 76942 |
|
26 |
25 |
$282.87 |
| 99152 |
|
72 |
68 |
$273.54 |
| J2704 |
Injection, propofol, 10 mg |
4,685 |
3,343 |
$261.61 |
| 85610 |
|
247 |
198 |
$258.88 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
625 |
584 |
$238.85 |
| 82962 |
|
367 |
254 |
$203.78 |
| 99153 |
Mod sedat endo service >5yrs |
59 |
51 |
$177.92 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
3,859 |
1,841 |
$177.32 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
3,960 |
2,749 |
$171.45 |
| 88341 |
|
13 |
12 |
$136.95 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,563 |
1,086 |
$134.64 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
6,269 |
5,328 |
$126.95 |
| 84100 |
|
50 |
38 |
$97.47 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
7,274 |
6,157 |
$91.04 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
2,417 |
2,148 |
$78.64 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
180 |
123 |
$62.22 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,455 |
2,110 |
$43.71 |
| 82565 |
|
25 |
17 |
$43.45 |
| 85730 |
|
49 |
47 |
$30.46 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,774 |
4,684 |
$26.62 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
354 |
334 |
$12.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
76 |
44 |
$0.01 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
51 |
37 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
571 |
376 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
608 |
498 |
$0.00 |
| J8501 |
Aprepitant, oral, 5 mg |
15 |
14 |
$0.00 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
14 |
13 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
39 |
39 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
233 |
147 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
95 |
90 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
106 |
101 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
226 |
216 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
861 |
793 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
145 |
117 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
48 |
24 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
308 |
306 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
39 |
34 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
27 |
26 |
$0.00 |