| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
899 |
875 |
$135K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
587 |
570 |
$121K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
91 |
80 |
$54K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
105 |
103 |
$31K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,632 |
2,519 |
$13K |
| 88342 |
|
603 |
589 |
$10K |
| J3490 |
Unclassified drugs |
4,368 |
2,293 |
$6K |
| C9399 |
Unclassified drugs or biologicals |
66 |
63 |
$975.60 |
| 81025 |
|
643 |
622 |
$647.17 |
| J7999 |
Compounded drug, not otherwise classified |
109 |
75 |
$551.34 |
| 82962 |
|
374 |
317 |
$391.10 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
2,466 |
1,975 |
$357.41 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
663 |
619 |
$298.19 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,500 |
3,691 |
$256.51 |
| 85610 |
|
74 |
65 |
$104.36 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
634 |
527 |
$101.75 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
15 |
14 |
$96.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,915 |
1,808 |
$79.38 |
| 88304 |
|
63 |
62 |
$68.90 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
27 |
$54.54 |
| 85730 |
|
32 |
26 |
$50.25 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,742 |
2,624 |
$49.63 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,215 |
2,044 |
$49.04 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
948 |
899 |
$45.85 |
| 88307 |
|
29 |
26 |
$25.40 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
12 |
12 |
$16.00 |
| J2704 |
Injection, propofol, 10 mg |
849 |
686 |
$11.51 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
42 |
40 |
$9.45 |
| J1644 |
Injection, heparin sodium, per 1000 units |
50 |
38 |
$2.10 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
512 |
489 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
90 |
85 |
$0.00 |
| J0694 |
Injection, cefoxitin sodium, 1 gm |
110 |
105 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
15 |
14 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
94 |
90 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
14 |
14 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
13 |
12 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
55 |
50 |
$0.00 |