| Code | Description | Claims | Beneficiaries | Total Paid |
| 41899 |
Unlisted procedure, dentoalveolar structures |
1,089 |
1,058 |
$4.50M |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
557 |
537 |
$335K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
569 |
537 |
$227K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
447 |
436 |
$191K |
| 76000 |
|
629 |
507 |
$150K |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
12 |
12 |
$80K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
37 |
26 |
$52K |
| 64483 |
|
86 |
78 |
$41K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,286 |
4,121 |
$24K |
| 64493 |
|
17 |
12 |
$5K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
7,821 |
6,505 |
$5K |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
3,938 |
3,745 |
$4K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
8,124 |
7,644 |
$4K |
| 82962 |
|
17 |
14 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,814 |
2,084 |
$89.13 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
348 |
219 |
$88.61 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
170 |
116 |
$61.62 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
518 |
502 |
$52.13 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
861 |
840 |
$26.14 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
37 |
26 |
$15.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,632 |
1,106 |
$11.81 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
25 |
25 |
$0.00 |
| 99152 |
|
106 |
100 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
13 |
13 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
389 |
323 |
$0.00 |
| V2632 |
Posterior chamber intraocular lens |
35 |
25 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
87 |
80 |
$0.00 |