| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 01992 |
|
570 |
554 |
$25K |
| 00731 |
|
311 |
310 |
$18K |
| 00811 |
|
72 |
72 |
$4K |
| 01940 |
|
54 |
54 |
$3K |
| 00812 |
|
27 |
27 |
$1K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
12 |
12 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
232 |
230 |
$111.06 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
233 |
231 |
$63.93 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
229 |
227 |
$24.15 |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
241 |
239 |
$3.32 |
| A4215 |
Needle, sterile, any size, each |
227 |
225 |
$3.12 |
| A4615 |
Cannula, nasal |
256 |
254 |
$0.75 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
53 |
53 |
$0.18 |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
49 |
49 |
$0.04 |
| A4649 |
Surgical supply; miscellaneous |
229 |
228 |
$0.00 |
| C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
14 |
14 |
$0.00 |