| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
14,126 |
13,659 |
$11.13M |
| D9222 |
|
666 |
653 |
$492K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,179 |
1,112 |
$385K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12,158 |
11,712 |
$18K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
5,971 |
5,710 |
$14K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
10,602 |
10,233 |
$12K |
| J2704 |
Injection, propofol, 10 mg |
12,157 |
11,707 |
$9K |
| J7642 |
Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
11,824 |
11,404 |
$2K |
| J3490 |
Unclassified drugs |
11,206 |
10,526 |
$2K |
| 31000 |
|
19 |
17 |
$2K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
467 |
466 |
$882.32 |
| 69209 |
|
20 |
18 |
$135.24 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
10,942 |
10,675 |
$75.08 |
| A4217 |
Sterile water/saline, 500 ml |
9,706 |
9,332 |
$28.11 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
19 |
19 |
$4.94 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
20 |
20 |
$0.00 |