| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
289 |
217 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
769 |
533 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
785 |
521 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
210 |
160 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
650 |
548 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
20 |
14 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
53 |
52 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
404 |
334 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
26 |
26 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
35 |
25 |
$0.00 |