| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
161 |
158 |
$16K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
16 |
13 |
$14K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
47 |
43 |
$11K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
44 |
43 |
$9K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
322 |
308 |
$5K |
| 88342 |
|
143 |
132 |
$4K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
13 |
13 |
$3K |
| C1769 |
Guide wire |
94 |
92 |
$2K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
414 |
370 |
$414.62 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
65 |
65 |
$380.11 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,149 |
1,081 |
$376.23 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,128 |
2,748 |
$354.38 |
| 82962 |
|
327 |
251 |
$276.84 |
| J2704 |
Injection, propofol, 10 mg |
1,753 |
1,660 |
$225.81 |
| 81025 |
|
143 |
140 |
$199.88 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
54 |
32 |
$185.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,255 |
2,193 |
$164.44 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,866 |
2,612 |
$88.24 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
41 |
41 |
$58.97 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,509 |
2,455 |
$56.24 |
| 88304 |
|
16 |
14 |
$44.88 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
12 |
$37.80 |
| 85027 |
|
19 |
13 |
$34.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
183 |
179 |
$24.77 |
| 36415 |
Collection of venous blood by venipuncture |
49 |
48 |
$19.05 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
105 |
102 |
$18.03 |
| J1644 |
Injection, heparin sodium, per 1000 units |
107 |
89 |
$17.50 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
28 |
28 |
$8.95 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
108 |
107 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
251 |
208 |
$0.00 |
| C9399 |
Unclassified drugs or biologicals |
151 |
148 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
80 |
73 |
$0.00 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
29 |
27 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
42 |
33 |
$0.00 |
| J2004 |
Injection, lidocaine hcl with epinephrine, 1 mg |
25 |
25 |
$0.00 |
| J0689 |
Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg |
12 |
12 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
166 |
165 |
$0.00 |