| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
356 |
313 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
281 |
249 |
$6K |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
1,119 |
861 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
19 |
13 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
18 |
18 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,161 |
881 |
$537.90 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,228 |
940 |
$431.63 |
| 45384 |
|
12 |
12 |
$285.40 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
53 |
32 |
$22.75 |