| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 62323 |
|
111 |
108 |
$66K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
75 |
63 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
23 |
12 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
136 |
133 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
136 |
122 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
29 |
28 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
26 |
25 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
46 |
46 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
77 |
74 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
183 |
176 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
41 |
38 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
59 |
55 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$0.00 |