| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93458 |
|
244 |
217 |
$265K |
| G0378 |
Hospital observation per hr |
873 |
397 |
$44K |
| 93798 |
|
188 |
27 |
$11K |
| 93005 |
|
1,105 |
897 |
$9K |
| C1769 |
Guide wire |
2,176 |
1,870 |
$7K |
| C1725 |
Cath, translumin non-laser |
66 |
62 |
$2K |
| 80053 |
|
14 |
12 |
$623.53 |
| 80048 |
|
1,344 |
984 |
$497.18 |
| 84520 |
|
1,586 |
1,364 |
$226.79 |
| 86850 |
|
59 |
52 |
$30.15 |
| 71045 |
|
55 |
49 |
$22.51 |
| 82947 |
|
4,678 |
2,721 |
$16.09 |
| J3010 |
Fentanyl citrate injection |
2,976 |
2,555 |
$5.31 |
| 99152 |
|
533 |
487 |
$4.76 |
| 85610 |
|
777 |
629 |
$4.36 |
| J3490 |
Drugs unclassified injection |
3,730 |
1,381 |
$4.26 |
| 84132 |
|
2,033 |
1,687 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
677 |
512 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
1,286 |
1,109 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
232 |
215 |
$0.00 |
| A9270 |
Non-covered item or service |
5,533 |
690 |
$0.00 |
| 82435 |
|
1,584 |
1,362 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
2,626 |
2,170 |
$0.00 |
| 85018 |
|
1,714 |
1,428 |
$0.00 |
| J2001 |
Lidocaine injection |
423 |
376 |
$0.00 |
| 82330 |
|
197 |
185 |
$0.00 |
| 85027 |
|
496 |
409 |
$0.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
127 |
116 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
55 |
52 |
$0.00 |
| 86901 |
|
59 |
52 |
$0.00 |
| 83735 |
|
62 |
37 |
$0.00 |
| 85025 |
|
334 |
241 |
$0.00 |
| 84484 |
|
20 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
47 |
41 |
$0.00 |
| 94760 |
|
81 |
52 |
$0.00 |
| G0379 |
Direct refer hospital observ |
12 |
12 |
$0.00 |
| J1815 |
Insulin injection |
34 |
12 |
$0.00 |
| 85014 |
|
1,657 |
1,414 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
3,290 |
2,235 |
$0.00 |
| C1887 |
Catheter, guiding |
512 |
455 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
1,760 |
1,535 |
$0.00 |
| 82565 |
|
1,602 |
1,374 |
$0.00 |
| 84295 |
|
1,644 |
1,414 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,694 |
1,470 |
$0.00 |
| J7030 |
Normal saline solution infus |
331 |
303 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
436 |
360 |
$0.00 |
| 86900 |
|
59 |
52 |
$0.00 |
| C1760 |
Closure dev, vasc |
302 |
263 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
945 |
157 |
$0.00 |
| J7040 |
Normal saline solution infus |
163 |
145 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
87 |
72 |
$0.00 |
| 85347 |
|
89 |
56 |
$0.00 |