| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 37252 |
|
1,346 |
866 |
$217K |
| 36902 |
|
1,647 |
1,162 |
$110K |
| 36907 |
|
1,388 |
946 |
$96K |
| 36215 |
|
995 |
667 |
$89K |
| 37253 |
|
1,217 |
782 |
$42K |
| 75710 |
|
1,027 |
674 |
$18K |
| 99152 |
|
2,032 |
1,393 |
$8K |
| 76937 |
|
1,914 |
1,305 |
$6K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,186 |
769 |
$2K |
| 37799 |
|
16 |
15 |
$429.96 |
| 01916 |
|
17 |
15 |
$410.88 |
| 99153 |
Mod sedat endo service >5yrs |
415 |
266 |
$319.66 |
| 77001 |
|
17 |
15 |
$158.61 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,077 |
690 |
$12.85 |
| G8915 |
Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc |
370 |
309 |
$0.00 |
| Q9963 |
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml |
136 |
57 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
17 |
15 |
$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 |
391 |
328 |
$0.00 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
108 |
92 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
18 |
18 |
$0.00 |