| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 45378 |
|
6,733 |
4,528 |
$465K |
| 43239 |
|
3,552 |
2,379 |
$220K |
| 45380 |
|
2,595 |
1,817 |
$213K |
| 66984 |
|
1,330 |
1,076 |
$200K |
| 45385 |
|
1,607 |
1,109 |
$132K |
| V2630 |
Anter chamber intraocul lens |
668 |
655 |
$20K |
| V2632 |
Post chmbr intraocular lens |
488 |
485 |
$18K |
| J7120 |
Ringers lactate infusion |
3,486 |
3,279 |
$3K |
| J3010 |
Fentanyl citrate injection |
5,495 |
5,218 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
5,140 |
4,897 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
2,395 |
2,360 |
$192.72 |
| J2001 |
Lidocaine injection |
569 |
553 |
$98.84 |
| 0760 |
|
2,524 |
2,351 |
$0.00 |
| 99281 |
|
101 |
34 |
$0.00 |
| 0360 |
|
5,453 |
4,927 |
$0.00 |
| G9656 |
Pt trans from anest to pacu |
729 |
728 |
$0.00 |
| J7030 |
Normal saline solution infus |
1,878 |
1,750 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
727 |
726 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
13 |
13 |
$0.00 |
| A0429 |
Bls-emergency |
365 |
178 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
12 |
12 |
$0.00 |
| 0490 |
|
104 |
96 |
$0.00 |
| G8907 |
Pt doc no events on discharg |
44 |
44 |
$0.00 |
| A4550 |
Surgical trays |
50 |
50 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
38 |
38 |
$0.00 |
| 99234 |
|
740 |
739 |
$0.00 |
| 0250 |
|
348 |
242 |
$0.00 |
| 0710 |
|
5,189 |
4,971 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
52 |
52 |
$0.00 |
| 0769 |
|
123 |
123 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
65 |
64 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
65 |
65 |
$0.00 |
| 99241 |
|
12 |
12 |
$0.00 |
| 0270 |
|
130 |
105 |
$0.00 |
| 0258 |
|
79 |
68 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
12 |
12 |
$0.00 |