| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99202 |
|
491 |
256 |
$138K |
| 99283 |
|
497 |
441 |
$29K |
| 85025 |
|
1,190 |
1,174 |
$14K |
| 93005 |
|
132 |
131 |
$5K |
| J7120 |
Ringers lactate infusion |
265 |
255 |
$3K |
| J3010 |
Fentanyl citrate injection |
227 |
226 |
$2K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
473 |
100 |
$2K |
| J0690 |
Cefazolin sodium injection |
139 |
127 |
$2K |
| J1100 |
Dexamethasone sodium phos |
187 |
180 |
$2K |
| J2405 |
Ondansetron hcl injection |
193 |
185 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
165 |
155 |
$1K |
| 80048 |
|
80 |
77 |
$990.46 |
| J2250 |
Inj midazolam hydrochloride |
125 |
124 |
$948.56 |
| J2004 |
Inj, lidocaine w epinephrine |
44 |
12 |
$645.22 |
| 80053 |
|
25 |
24 |
$416.97 |
| J0330 |
Succinycholine chloride inj |
13 |
13 |
$246.11 |
| 36415 |
|
358 |
356 |
$38.18 |