| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
22 |
14 |
$24K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
21 |
12 |
$372.93 |
| 97535 |
Self-care/home management training, each 15 minutes |
21 |
12 |
$372.93 |
| 97116 |
|
20 |
12 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
15 |
12 |
$0.00 |
| C1776 |
Joint device (implantable) |
15 |
12 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
15 |
12 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
15 |
12 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
61 |
39 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
15 |
12 |
$0.00 |
| V2632 |
Posterior chamber intraocular lens |
59 |
38 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
28 |
12 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
15 |
12 |
$0.00 |
| G0378 |
Hospital observation service, per hour |
15 |
12 |
$0.00 |