| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2704 |
Inj, propofol, 10 mg |
2,065 |
1,956 |
$10.61 |
| J1100 |
Dexamethasone sodium phos |
1,473 |
1,384 |
$2.81 |
| J3010 |
Fentanyl citrate injection |
1,530 |
1,218 |
$2.64 |
| J2250 |
Inj midazolam hydrochloride |
1,018 |
962 |
$0.51 |
| J2405 |
Ondansetron hcl injection |
1,575 |
1,467 |
$0.36 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
151 |
147 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
463 |
431 |
$0.00 |
| J7120 |
Ringers lactate infusion |
382 |
362 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
56 |
55 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
29 |
29 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
516 |
408 |
$0.00 |
| J2001 |
Lidocaine injection |
113 |
99 |
$0.00 |
| J1170 |
Hydromorphone injection |
125 |
103 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
615 |
531 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
34 |
31 |
$0.00 |
| J3490 |
Drugs unclassified injection |
138 |
113 |
$0.00 |