| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36902 |
|
164 |
150 |
$18K |
| 37248 |
|
98 |
86 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
607 |
533 |
$4K |
| 99152 |
|
341 |
306 |
$363.62 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
44 |
39 |
$356.16 |
| 93040 |
|
572 |
533 |
$29.62 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
381 |
339 |
$22.46 |
| 93041 |
|
98 |
93 |
$11.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
749 |
658 |
$0.00 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
377 |
332 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
420 |
360 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
222 |
200 |
$0.00 |