| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
661 |
657 |
$162K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
774 |
772 |
$143K |
| 99152 |
|
1,566 |
1,404 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
965 |
964 |
$55K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
652 |
649 |
$46K |
| 76770 |
|
649 |
643 |
$41K |
| 99153 |
Mod sedat endo service >5yrs |
1,497 |
1,380 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,442 |
1,346 |
$35K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
355 |
298 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
319 |
253 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
90 |
$5K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
355 |
298 |
$4K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
259 |
210 |
$1K |
| 94760 |
|
247 |
201 |
$1K |
| J7050 |
Infusion, normal saline solution, 250 cc |
225 |
179 |
$985.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
259 |
210 |
$977.92 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
563 |
528 |
$291.82 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
562 |
527 |
$0.90 |
| 1101F |
|
567 |
532 |
$0.90 |
| 0528F |
|
25 |
17 |
$0.00 |
| 3017F |
|
25 |
17 |
$0.00 |