| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
294 |
283 |
$93K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
212 |
201 |
$77K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
146 |
138 |
$47K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
55 |
51 |
$23K |
| J3490 |
Unclassified drugs |
15 |
12 |
$93.99 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
139 |
109 |
$22.37 |
| J2704 |
Injection, propofol, 10 mg |
148 |
100 |
$18.87 |
| J0689 |
Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg |
141 |
126 |
$8.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
109 |
88 |
$7.78 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
15 |
12 |
$4.55 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
115 |
102 |
$2.08 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
73 |
57 |
$1.70 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
13 |
13 |
$0.00 |