| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
27 |
27 |
$60K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
305 |
110 |
$11K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
274 |
85 |
$11K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
224 |
102 |
$11K |
| 74018 |
|
25 |
24 |
$1K |
| 92587 |
|
114 |
112 |
$795.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
63 |
49 |
$667.29 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
407 |
360 |
$398.97 |
| 92567 |
|
151 |
144 |
$385.00 |
| 92579 |
|
105 |
103 |
$314.50 |
| J2704 |
Injection, propofol, 10 mg |
360 |
282 |
$282.08 |
| 92526 |
|
16 |
12 |
$210.00 |
| J3490 |
Unclassified drugs |
586 |
308 |
$189.28 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
317 |
283 |
$42.60 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
359 |
305 |
$36.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
22 |
12 |
$9.75 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
300 |
245 |
$2.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
298 |
267 |
$0.00 |
| OP370 |
|
513 |
454 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
212 |
205 |
$0.00 |
| OP272 |
|
12 |
12 |
$0.00 |
| OP710 |
|
515 |
455 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
83 |
67 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
32 |
30 |
$0.00 |