| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
499 |
397 |
$206K |
| 00142 |
|
421 |
365 |
$35K |
| J3490 |
Unclassified drugs |
2,716 |
978 |
$3K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
651 |
519 |
$1K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,610 |
1,352 |
$984.77 |
| 76000 |
|
13 |
12 |
$354.12 |
| 97165 |
|
24 |
24 |
$198.48 |
| 97116 |
|
15 |
13 |
$161.21 |
| 82962 |
|
615 |
487 |
$113.84 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
216 |
209 |
$0.00 |
| L8699 |
Prosthetic implant, not otherwise specified |
344 |
339 |
$0.00 |
| V2632 |
Posterior chamber intraocular lens |
654 |
519 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
112 |
99 |
$0.00 |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
37 |
37 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
29 |
25 |
$0.00 |
| 85018 |
|
14 |
13 |
$0.00 |
| 76942 |
|
214 |
205 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
1,548 |
576 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
100 |
87 |
$0.00 |
| 97161 |
|
12 |
12 |
$0.00 |