| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
394 |
258 |
$470K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
13 |
13 |
$12K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,122 |
1,003 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
185 |
182 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
38 |
38 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
298 |
279 |
$0.00 |
| V2630 |
Anterior chamber intraocular lens |
167 |
114 |
$0.00 |
| J0688 |
Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg |
15 |
15 |
$0.00 |
| J3490 |
Unclassified drugs |
1,239 |
1,060 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,335 |
1,187 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,358 |
1,094 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
2,161 |
1,789 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
405 |
338 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
979 |
916 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
374 |
324 |
$0.00 |