| Code | Description | Claims | Beneficiaries | Total Paid |
| 62323 |
|
1,017 |
835 |
$48K |
| 64493 |
|
811 |
371 |
$41K |
| 62321 |
|
115 |
103 |
$6K |
| 64490 |
|
100 |
51 |
$4K |
| G0260 |
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography |
43 |
25 |
$2K |
| 64483 |
|
14 |
12 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
304 |
275 |
$0.00 |
| 64494 |
|
430 |
198 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
292 |
250 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
19 |
12 |
$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 |
839 |
777 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
197 |
175 |
$0.00 |
| 99152 |
|
583 |
469 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
15 |
15 |
$0.00 |
| 64491 |
|
48 |
25 |
$0.00 |