| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2704 |
Injection, propofol, 10 mg |
2,065 |
1,956 |
$10.61 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,473 |
1,384 |
$2.81 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,530 |
1,218 |
$2.64 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,018 |
962 |
$0.51 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,575 |
1,467 |
$0.36 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
151 |
147 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
463 |
431 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
382 |
362 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
56 |
55 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
29 |
29 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
516 |
408 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
113 |
99 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
125 |
103 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
615 |
531 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
34 |
31 |
$0.00 |
| J3490 |
Unclassified drugs |
138 |
113 |
$0.00 |