| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
216 |
139 |
$222K |
| 41899 |
|
165 |
135 |
$93K |
| 99283 |
|
1,437 |
1,284 |
$80K |
| 87637 |
|
231 |
208 |
$28K |
| 99284 |
|
155 |
130 |
$10K |
| 74018 |
|
25 |
24 |
$2K |
| 76770 |
|
31 |
25 |
$2K |
| 36415 |
|
473 |
406 |
$1K |
| 85025 |
|
15 |
12 |
$116.55 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
335 |
174 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
414 |
273 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
432 |
187 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
121 |
91 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
514 |
260 |
$0.00 |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
13 |
12 |
$0.00 |