| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76942 |
|
1,313 |
1,120 |
$6K |
| 64448 |
|
12 |
12 |
$3K |
| 97116 |
|
262 |
154 |
$3K |
| 97165 |
|
127 |
101 |
$2K |
| 97161 |
|
130 |
104 |
$2K |
| 20610 |
|
29 |
25 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
147 |
51 |
$1K |
| 97535 |
Self-care/home management training, each 15 minutes |
128 |
78 |
$1K |
| 81025 |
|
88 |
78 |
$546.25 |
| 82962 |
|
302 |
190 |
$472.49 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
67 |
37 |
$427.79 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
3,501 |
2,467 |
$0.84 |
| J2704 |
Injection, propofol, 10 mg |
3,590 |
2,614 |
$0.69 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,261 |
2,698 |
$0.61 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,828 |
1,306 |
$0.58 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,614 |
1,314 |
$0.37 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
3,087 |
2,661 |
$0.08 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,124 |
2,530 |
$0.06 |
| A4550 |
Surgical trays |
1,195 |
1,082 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
1,430 |
1,210 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
83 |
50 |
$0.00 |
| C1776 |
Joint device (implantable) |
104 |
89 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
19 |
12 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
13 |
12 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
380 |
290 |
$0.00 |
| A9270 |
Non-covered item or service |
448 |
312 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
2,535 |
1,347 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
12 |
12 |
$0.00 |