| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
73 |
62 |
$55K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
358 |
352 |
$41K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
92 |
87 |
$18K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
13 |
12 |
$10K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
28 |
24 |
$6K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$2K |
| 43235 |
|
12 |
12 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
757 |
556 |
$1K |
| 90686 |
|
41 |
41 |
$1K |
| 88342 |
|
251 |
235 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
36 |
36 |
$350.20 |
| 81025 |
|
287 |
254 |
$206.00 |
| J2704 |
Injection, propofol, 10 mg |
2,645 |
2,348 |
$96.90 |
| 82962 |
|
191 |
137 |
$37.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,535 |
1,501 |
$21.30 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,545 |
1,350 |
$10.74 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
574 |
554 |
$7.16 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,751 |
1,706 |
$5.43 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,229 |
1,199 |
$0.98 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
486 |
469 |
$0.78 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
28 |
27 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
13 |
12 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
19 |
14 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
14 |
14 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
12 |
12 |
$0.00 |