| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64483 |
|
144 |
76 |
$28K |
| G0260 |
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography |
128 |
90 |
$15K |
| 20610 |
|
86 |
43 |
$7K |
| 64493 |
|
60 |
27 |
$7K |
| 72275 |
|
79 |
64 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
32 |
27 |
$5K |
| 77002 |
|
56 |
34 |
$5K |
| 93041 |
|
1,071 |
829 |
$3K |
| A4550 |
Surgical trays |
856 |
626 |
$3K |
| 62321 |
|
17 |
13 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
492 |
368 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
703 |
543 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
250 |
200 |
$525.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
751 |
560 |
$420.00 |
| 64494 |
|
59 |
26 |
$118.08 |
| 64484 |
|
70 |
37 |
$59.44 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
42 |
27 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
59 |
39 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
29 |
29 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
669 |
464 |
$0.00 |
| 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 |
62 |
47 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
62 |
47 |
$0.00 |
| 64495 |
|
28 |
12 |
$0.00 |