| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64493 |
|
20 |
12 |
$18K |
| 62323 |
|
24 |
24 |
$15K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
74 |
67 |
$11K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
27 |
19 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
142 |
126 |
$694.06 |
| J2704 |
Injection, propofol, 10 mg |
2,539 |
2,338 |
$163.77 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
335 |
321 |
$41.78 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
33 |
25 |
$12.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
112 |
80 |
$11.04 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,881 |
1,716 |
$10.02 |
| 82947 |
|
51 |
43 |
$7.28 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
998 |
885 |
$4.88 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,644 |
1,532 |
$2.48 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,679 |
1,555 |
$1.79 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,952 |
1,581 |
$1.44 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
187 |
177 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
71 |
51 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
116 |
104 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
15 |
12 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
24 |
18 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
943 |
801 |
$0.00 |
| J3490 |
Unclassified drugs |
524 |
495 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
480 |
397 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
12 |
12 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
55 |
36 |
$0.00 |