| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64483 |
|
385 |
257 |
$68K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
99 |
91 |
$22K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
88 |
76 |
$18K |
| 64493 |
|
20 |
13 |
$6K |
| 62321 |
|
15 |
12 |
$2K |
| 64494 |
|
19 |
13 |
$796.38 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
959 |
679 |
$395.02 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
437 |
335 |
$246.51 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
73 |
54 |
$0.00 |