| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64483 |
|
1,542 |
1,170 |
$562K |
| 64635 |
|
426 |
348 |
$308K |
| 64493 |
|
524 |
294 |
$179K |
| G0260 |
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography |
223 |
149 |
$53K |
| 64633 |
|
64 |
51 |
$43K |
| 62321 |
|
138 |
137 |
$40K |
| A4550 |
Surgical trays |
2,038 |
1,756 |
$31K |
| 64490 |
|
64 |
39 |
$18K |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
1,347 |
1,159 |
$17K |
| A4649 |
Surgical supply; miscellaneous |
1,367 |
1,170 |
$11K |
| 20610 |
|
152 |
109 |
$9K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
391 |
315 |
$6K |
| A4930 |
Gloves, sterile, per pair |
1,704 |
1,491 |
$2K |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
1,829 |
1,576 |
$2K |
| A4215 |
Needle, sterile, any size, each |
1,869 |
1,611 |
$1K |
| A4615 |
Cannula, nasal |
1,338 |
1,142 |
$1K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
660 |
548 |
$825.07 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
174 |
142 |
$558.18 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
131 |
111 |
$104.24 |
| A4616 |
Tubing (oxygen), per foot |
1,377 |
1,174 |
$97.66 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
16 |
12 |
$16.16 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
66 |
44 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
102 |
84 |
$0.00 |