| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| C1713 |
Anchor/screw bn/bn,tis/bn |
824 |
751 |
$955K |
| C1776 |
Joint device (implantable) |
42 |
41 |
$169K |
| 81025 |
|
277 |
254 |
$24.73 |
| G0378 |
Hospital observation per hr |
57 |
37 |
$18.01 |
| J2405 |
Ondansetron hcl injection |
1,450 |
1,283 |
$0.00 |
| 85610 |
|
82 |
71 |
$0.00 |
| J7120 |
Ringers lactate infusion |
421 |
388 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
614 |
100 |
$0.00 |
| 97116 |
|
18 |
13 |
$0.00 |
| 97161 |
|
24 |
24 |
$0.00 |
| 82947 |
|
14 |
13 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
415 |
370 |
$0.00 |
| 36415 |
|
625 |
537 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
1,851 |
1,647 |
$0.00 |
| 80048 |
|
142 |
111 |
$0.00 |
| J1170 |
Hydromorphone injection |
522 |
449 |
$0.00 |
| 80053 |
|
18 |
16 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
154 |
140 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
914 |
813 |
$0.00 |
| 87635 |
|
402 |
365 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
1,566 |
1,419 |
$0.00 |
| J3490 |
Drugs unclassified injection |
638 |
132 |
$0.00 |
| J2001 |
Lidocaine injection |
106 |
90 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
41 |
40 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
165 |
137 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
542 |
505 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
36 |
33 |
$0.00 |
| 85025 |
|
84 |
55 |
$0.00 |
| 85027 |
|
105 |
93 |
$0.00 |
| 85730 |
|
78 |
70 |
$0.00 |
| 94760 |
|
73 |
39 |
$0.00 |