| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
|
1,089 |
1,058 |
$4.50M |
| 45380 |
|
557 |
537 |
$335K |
| 43239 |
|
569 |
537 |
$227K |
| 45385 |
|
447 |
436 |
$191K |
| 76000 |
|
629 |
507 |
$150K |
| G0330 |
Facility svs dental rehab |
12 |
12 |
$80K |
| 66984 |
|
37 |
26 |
$52K |
| 64483 |
|
86 |
78 |
$41K |
| 88305 |
|
4,286 |
4,121 |
$24K |
| 64493 |
|
17 |
12 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
7,821 |
6,505 |
$5K |
| G0500 |
Mod sedat endo service >5yrs |
3,938 |
3,745 |
$4K |
| J3010 |
Fentanyl citrate injection |
8,124 |
7,644 |
$4K |
| 82962 |
|
17 |
14 |
$2K |
| J2405 |
Ondansetron hcl injection |
2,814 |
2,084 |
$89.13 |
| J2795 |
Ropivacaine hcl injection |
348 |
219 |
$88.61 |
| J3301 |
Triamcinolone acet inj nos |
170 |
116 |
$61.62 |
| J1200 |
Diphenhydramine hcl injectio |
518 |
502 |
$52.13 |
| J7120 |
Ringers lactate infusion |
861 |
840 |
$26.14 |
| J0171 |
Adrenalin epinephrine inject |
37 |
26 |
$15.08 |
| J1100 |
Dexamethasone sodium phos |
1,632 |
1,106 |
$11.81 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
25 |
25 |
$0.00 |
| 99152 |
|
106 |
100 |
$0.00 |
| G1004 |
Cdsm ndsc |
13 |
13 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
389 |
323 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
35 |
25 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
87 |
80 |
$0.00 |