| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36902 |
|
518 |
467 |
$97K |
| 99152 |
|
741 |
670 |
$7K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
927 |
608 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,911 |
886 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
37 |
34 |
$92.05 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
801 |
523 |
$72.52 |
| 77001 |
|
12 |
12 |
$33.55 |
| 6030F |
|
512 |
445 |
$0.00 |
| 4044F |
|
315 |
273 |
$0.00 |
| 6040F |
|
47 |
36 |
$0.00 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
385 |
336 |
$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 |
75 |
62 |
$0.00 |
| G9316 |
Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family |
529 |
469 |
$0.00 |
| 6045F |
|
14 |
12 |
$0.00 |