| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 62323 |
|
111 |
108 |
$66K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
75 |
63 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
23 |
12 |
$0.00 |
| J7040 |
Normal saline solution infus |
136 |
133 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
136 |
122 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
29 |
28 |
$0.00 |
| J7120 |
Ringers lactate infusion |
26 |
25 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
46 |
46 |
$0.00 |
| J2001 |
Lidocaine injection |
77 |
74 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
183 |
176 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
41 |
38 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
59 |
55 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
12 |
12 |
$0.00 |