| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
30 |
29 |
$8K |
| J2704 |
Injection, propofol, 10 mg |
2,568 |
2,190 |
$108.39 |
| J3490 |
Unclassified drugs |
1,584 |
1,227 |
$32.71 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,772 |
1,560 |
$25.19 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,116 |
1,687 |
$6.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,473 |
1,387 |
$5.50 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,550 |
1,492 |
$3.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
250 |
191 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
638 |
517 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
860 |
728 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
25 |
25 |
$0.00 |
| J0688 |
Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg |
111 |
106 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
236 |
226 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
144 |
139 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
45 |
40 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
293 |
261 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
319 |
273 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
47 |
41 |
$0.00 |
| J0137 |
Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg |
32 |
31 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
19 |
13 |
$0.00 |