| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
306 |
302 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
774 |
762 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
272 |
270 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
314 |
235 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
116 |
116 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
282 |
276 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
13 |
12 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
310 |
282 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
380 |
376 |
$0.00 |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
27 |
26 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
15 |
15 |
$0.00 |