| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
|
3,478,597 |
1,895,990 |
$23.81M |
| 99213 |
|
505,014 |
422,036 |
$23.69M |
| 99214 |
|
386,435 |
330,716 |
$23.69M |
| 99285 |
|
151,543 |
134,052 |
$17.19M |
| 99284 |
|
191,294 |
165,955 |
$16.73M |
| 99215 |
Prolong outpt/office vis |
61,048 |
51,007 |
$5.03M |
| 99232 |
|
111,339 |
42,474 |
$4.87M |
| 99283 |
|
88,064 |
74,962 |
$4.18M |
| 99203 |
|
63,505 |
53,079 |
$4.08M |
| 99391 |
|
39,901 |
33,538 |
$3.43M |
| 99392 |
|
37,056 |
32,702 |
$3.38M |
| 99233 |
Prolong inpt eval add15 m |
42,961 |
16,761 |
$2.74M |
| 99244 |
|
18,888 |
15,900 |
$2.42M |
| 99393 |
|
26,898 |
23,403 |
$2.40M |
| 90471 |
|
123,198 |
106,535 |
$2.28M |
| 90472 |
|
63,469 |
54,965 |
$2.13M |
| 99204 |
|
22,182 |
18,014 |
$2.08M |
| 93306 |
|
32,548 |
29,071 |
$1.54M |
| 99479 |
|
15,775 |
4,043 |
$1.52M |
| 99472 |
|
5,095 |
1,140 |
$1.38M |
| 99394 |
|
14,103 |
12,132 |
$1.36M |
| 88305 |
|
30,552 |
25,979 |
$1.36M |
| 01967 |
|
7,688 |
6,904 |
$1.29M |
| 99238 |
|
21,925 |
18,906 |
$1.27M |
| 76816 |
|
31,486 |
26,015 |
$1.26M |
| 99417 |
Prolong home eval add 15m |
5,539 |
4,127 |
$1.25M |
| 74177 |
|
23,263 |
19,843 |
$1.23M |
| 99223 |
Prolong inpt eval add15 m |
9,470 |
8,237 |
$1.13M |
| 99460 |
|
14,872 |
12,786 |
$1.12M |
| 99469 |
|
3,344 |
862 |
$984K |
| 70450 |
|
36,476 |
31,325 |
$949K |
| 87426 |
|
26,832 |
21,733 |
$892K |
| 90792 |
|
9,343 |
7,511 |
$883K |
| 93010 |
|
174,664 |
138,603 |
$822K |
| 76811 |
|
9,755 |
8,349 |
$711K |
| 99291 |
|
4,855 |
2,517 |
$675K |
| 71045 |
|
115,017 |
76,487 |
$670K |
| 95720 |
|
4,569 |
2,530 |
$661K |
| 96127 |
|
132,864 |
114,680 |
$565K |
| 99480 |
|
6,122 |
1,801 |
$555K |
| 90960 |
|
13,528 |
12,495 |
$554K |
| 93303 |
|
9,098 |
7,578 |
$553K |
| 87804 |
|
41,623 |
19,397 |
$551K |
| 87880 |
|
42,334 |
36,814 |
$536K |
| 76819 |
|
16,120 |
11,712 |
$518K |
| 71046 |
|
66,254 |
58,714 |
$517K |
| 70553 |
|
6,575 |
5,785 |
$503K |
| 96110 |
|
60,039 |
51,263 |
$500K |
| 99205 |
Prolong outpt/office vis |
4,012 |
3,168 |
$487K |
| D0145 |
|
13,123 |
12,004 |
$442K |
| 99243 |
|
5,300 |
4,574 |
$439K |
| 99239 |
|
5,826 |
5,125 |
$426K |
| 99212 |
|
17,038 |
14,491 |
$413K |
| 95951 |
|
2,072 |
1,083 |
$398K |
| 01922 |
|
3,662 |
3,155 |
$389K |
| 88307 |
|
6,116 |
5,105 |
$363K |
| 74018 |
|
54,917 |
35,489 |
$360K |
| 76770 |
|
12,399 |
10,222 |
$333K |
| S0620 |
Routine ophthalmological exa |
5,408 |
3,720 |
$316K |
| 99231 |
|
12,035 |
4,289 |
$316K |
| 97110 |
|
8,800 |
3,696 |
$297K |
| 99202 |
|
5,452 |
5,035 |
$234K |
| 99245 |
|
1,610 |
1,333 |
$234K |
| 71275 |
|
4,006 |
3,527 |
$230K |
| 99222 |
|
2,663 |
2,278 |
$226K |
| 99254 |
|
1,893 |
1,595 |
$221K |
| 43239 |
|
2,029 |
1,827 |
$203K |
| 92060 |
|
8,699 |
7,050 |
$196K |
| D1206 |
|
13,144 |
12,018 |
$195K |
| S0280 |
Medical home, initial plan |
4,011 |
3,411 |
$182K |
| 93320 |
|
9,192 |
7,647 |
$174K |
| 90474 |
|
9,074 |
7,887 |
$171K |
| 76705 |
|
7,465 |
5,912 |
$161K |
| 93970 |
|
2,958 |
2,264 |
$160K |
| 54300 |
|
303 |
247 |
$155K |
| 90834 |
|
2,902 |
1,872 |
$154K |
| 97803 |
|
4,063 |
2,911 |
$154K |
| 76815 |
|
6,334 |
4,932 |
$153K |
| 99462 |
|
4,567 |
3,328 |
$150K |
| 95810 |
|
1,135 |
920 |
$149K |
| 99211 |
|
8,256 |
7,525 |
$146K |
| S0281 |
Medical home, maintenance |
1,227 |
987 |
$145K |
| 77014 |
|
5,799 |
2,104 |
$144K |
| 93975 |
|
2,116 |
1,674 |
$135K |
| 69436 |
|
923 |
825 |
$132K |
| 90837 |
|
1,934 |
970 |
$126K |
| 76805 |
|
2,485 |
2,287 |
$125K |
| 99395 |
|
1,345 |
1,082 |
$115K |
| 71260 |
|
3,276 |
2,719 |
$113K |
| 72125 |
|
3,137 |
2,705 |
$111K |
| 93325 |
|
12,710 |
10,438 |
$110K |
| 73630 |
|
15,468 |
12,961 |
$110K |
| 74176 |
|
2,234 |
1,913 |
$108K |
| 99255 |
|
733 |
633 |
$105K |
| 54150 |
|
843 |
624 |
$103K |
| 90460 |
|
2,141 |
2,110 |
$100K |
| 74230 |
|
4,889 |
4,365 |
$98K |
| 76817 |
|
2,689 |
2,325 |
$97K |
| 86077 |
|
3,018 |
2,505 |
$96K |
| 76825 |
|
1,008 |
777 |
$96K |
| 00170 |
|
1,020 |
898 |
$95K |
| 96130 |
|
1,369 |
975 |
$95K |
| 14040 |
|
455 |
345 |
$93K |
| 64644 |
|
1,316 |
1,198 |
$92K |
| 54161 |
|
465 |
349 |
$92K |
| 99442 |
|
2,437 |
2,034 |
$90K |
| 59025 |
|
4,520 |
2,342 |
$89K |
| 11042 |
|
4,924 |
3,148 |
$84K |
| 99443 |
|
1,610 |
1,328 |
$78K |
| 67028 |
|
1,513 |
1,202 |
$75K |
| 74022 |
|
5,987 |
4,577 |
$73K |
| 99401 |
|
3,012 |
2,193 |
$73K |
| 76820 |
|
3,907 |
2,639 |
$72K |
| 83020 |
|
5,682 |
4,516 |
$70K |
| 92134 |
|
6,667 |
5,748 |
$68K |
| 73610 |
|
10,373 |
8,677 |
$63K |
| 96372 |
|
4,548 |
3,625 |
$62K |
| 76506 |
|
2,565 |
1,798 |
$62K |
| 90853 |
|
2,005 |
923 |
$61K |
| 73562 |
|
9,380 |
8,150 |
$60K |
| 20610 |
|
2,134 |
1,755 |
$56K |
| 93971 |
|
1,499 |
1,221 |
$54K |
| 54360 |
|
113 |
93 |
$53K |
| 90791 |
|
1,002 |
675 |
$53K |
| 71250 |
|
1,742 |
1,583 |
$51K |
| 70498 |
|
944 |
811 |
$51K |
| 81025 |
|
7,640 |
6,050 |
$49K |
| 59410 |
|
72 |
64 |
$49K |
| S0621 |
Routine ophthalmological exa |
784 |
705 |
$48K |
| 90833 |
|
2,266 |
971 |
$47K |
| 99242 |
|
782 |
637 |
$45K |
| 73130 |
|
7,124 |
5,961 |
$45K |
| 95816 |
|
1,259 |
1,154 |
$45K |
| 64645 |
|
772 |
654 |
$44K |
| 92015 |
|
6,471 |
5,194 |
$44K |
| 84165 |
|
4,981 |
4,407 |
$43K |
| 73590 |
|
6,655 |
5,448 |
$42K |
| J1050 |
Medroxyprogesterone acetate |
1,482 |
1,183 |
$41K |
| 73030 |
|
6,685 |
5,758 |
$40K |
| 96131 |
|
615 |
393 |
$39K |
| 73090 |
|
6,342 |
5,027 |
$38K |
| 78815 |
|
630 |
517 |
$36K |
| 76801 |
|
779 |
619 |
$36K |
| 97802 |
|
674 |
479 |
$36K |
| 99282 |
|
1,131 |
1,045 |
$35K |
| 72082 |
|
2,651 |
2,315 |
$34K |
| 59515 |
|
44 |
42 |
$33K |
| 76827 |
|
990 |
764 |
$32K |
| 88108 |
|
1,791 |
1,559 |
$32K |
| 90686 |
|
50,341 |
43,733 |
$32K |
| 96413 |
|
545 |
258 |
$32K |
| 88141 |
|
1,731 |
1,426 |
$32K |
| 90935 |
|
1,892 |
1,125 |
$31K |
| 99220 |
|
299 |
261 |
$31K |
| 73521 |
|
3,373 |
2,966 |
$31K |
| 87636 |
|
238 |
174 |
$30K |
| 93248 |
|
2,113 |
1,852 |
$30K |
| G0108 |
Diab manage trn per indiv |
1,277 |
918 |
$30K |
| 92004 |
|
784 |
527 |
$29K |
| 95718 |
|
300 |
217 |
$28K |
| 00731 |
|
293 |
268 |
$28K |
| 87210 |
|
7,373 |
5,627 |
$28K |
| 55175 |
|
215 |
160 |
$28K |
| 99464 |
|
462 |
387 |
$27K |
| 36415 |
|
12,584 |
10,058 |
$27K |
| 99253 |
|
355 |
261 |
$25K |
| 73110 |
|
3,688 |
3,030 |
$24K |
| 97597 |
|
1,519 |
881 |
$23K |
| 73552 |
|
3,385 |
2,705 |
$23K |
| 01961 |
|
220 |
184 |
$23K |
| 73502 |
|
3,385 |
3,055 |
$22K |
| 73560 |
|
3,515 |
2,991 |
$21K |
| 86334 |
|
2,316 |
2,061 |
$20K |
| 91122 |
|
300 |
265 |
$20K |
| 99051 |
|
798 |
747 |
$20K |
| 88112 |
|
626 |
539 |
$20K |
| 90870 |
|
321 |
135 |
$20K |
| 73070 |
|
3,447 |
2,623 |
$20K |
| 87635 |
|
415 |
405 |
$19K |
| 59409 |
|
29 |
28 |
$19K |
| 72100 |
|
2,702 |
2,353 |
$19K |
| 62370 |
|
1,116 |
1,078 |
$19K |
| 88300 |
|
6,393 |
5,510 |
$19K |
| 42820 |
|
95 |
89 |
$19K |
| 95873 |
|
1,423 |
1,294 |
$18K |
| 88304 |
|
2,479 |
2,084 |
$18K |
| 88342 |
|
650 |
578 |
$18K |
| 95251 |
|
669 |
661 |
$18K |
| 94010 |
|
2,917 |
2,531 |
$17K |
| 0071A |
|
388 |
268 |
$17K |
| 69210 |
|
527 |
476 |
$17K |
| 00920 |
|
199 |
156 |
$17K |
| 0072A |
|
309 |
243 |
$17K |
| 83655 |
|
1,476 |
1,269 |
$17K |
| 99156 |
|
278 |
244 |
$16K |
| 77427 |
|
152 |
55 |
$16K |
| 51798 |
|
1,718 |
1,530 |
$15K |
| G2211 |
Complex e/m visit add on |
6,215 |
5,738 |
$15K |
| 72170 |
|
2,839 |
2,519 |
$15K |
| 76830 |
|
257 |
214 |
$15K |
| 95819 |
|
395 |
371 |
$15K |
| 90651 |
|
2,981 |
2,517 |
$14K |
| 93244 |
|
898 |
777 |
$14K |
| 99478 |
|
126 |
24 |
$14K |
| 70551 |
|
330 |
288 |
$14K |
| 0001A |
|
289 |
194 |
$14K |
| 20605 |
|
663 |
564 |
$13K |
| 99157 |
|
157 |
144 |
$13K |
| 29450 |
|
118 |
51 |
$13K |
| 96112 |
|
122 |
108 |
$13K |
| 92567 |
|
1,140 |
886 |
$12K |
| 99441 |
|
588 |
510 |
$12K |
| 93000 |
|
1,116 |
1,006 |
$12K |
| 95782 |
|
137 |
109 |
$12K |
| 93296 |
|
1,115 |
994 |
$12K |
| 93886 |
|
301 |
205 |
$11K |
| 88313 |
|
1,164 |
1,059 |
$11K |
| 77067 |
|
451 |
404 |
$11K |
| 88173 |
|
326 |
249 |
$11K |
| 88350 |
|
206 |
188 |
$11K |
| 99381 |
|
128 |
111 |
$11K |
| 73080 |
|
1,593 |
1,206 |
$10K |
| 72132 |
|
249 |
224 |
$10K |
| 94060 |
|
812 |
736 |
$10K |
| 90734 |
|
2,974 |
2,486 |
$10K |
| 51741 |
|
216 |
195 |
$9K |
| 72129 |
|
239 |
209 |
$9K |
| 95811 |
|
44 |
39 |
$9K |
| 73100 |
|
1,466 |
1,047 |
$9K |
| 87807 |
|
704 |
602 |
$9K |
| 76700 |
|
297 |
233 |
$9K |
| 96040 |
|
313 |
209 |
$9K |
| 76813 |
|
200 |
190 |
$9K |
| 0002A |
|
167 |
112 |
$8K |
| 99217 |
|
211 |
150 |
$8K |
| 95800 |
|
174 |
163 |
$8K |
| 93227 |
|
443 |
332 |
$7K |
| 99221 |
|
98 |
93 |
$7K |
| J3301 |
Triamcinolone acet inj nos |
1,918 |
1,668 |
$7K |
| 73060 |
|
1,126 |
856 |
$7K |
| J0561 |
Penicillin g benzathine inj |
74 |
52 |
$7K |
| 99219 |
|
57 |
54 |
$7K |
| 99354 |
|
60 |
59 |
$7K |
| 99499 |
|
56 |
26 |
$7K |
| 87502 |
|
101 |
100 |
$6K |
| 93295 |
|
310 |
278 |
$6K |
| 93294 |
|
542 |
498 |
$6K |
| 96161 |
|
2,423 |
2,266 |
$6K |
| 95886 |
|
125 |
114 |
$6K |
| 73140 |
|
808 |
600 |
$6K |
| 85025 |
|
1,100 |
918 |
$6K |
| 45380 |
|
25 |
25 |
$5K |
| 99173 |
|
64,119 |
55,451 |
$5K |
| 72040 |
|
685 |
588 |
$5K |
| 70491 |
|
107 |
88 |
$5K |
| 85097 |
|
189 |
169 |
$5K |
| 88291 |
|
281 |
197 |
$5K |
| 97530 |
|
141 |
54 |
$5K |
| 99152 |
|
742 |
645 |
$5K |
| 76885 |
|
164 |
133 |
$5K |
| 94729 |
|
833 |
759 |
$5K |
| 83036 |
|
611 |
544 |
$5K |
| 88311 |
|
636 |
533 |
$4K |
| 90480 |
|
93 |
84 |
$4K |
| 01991 |
|
122 |
116 |
$4K |
| 00635 |
|
49 |
41 |
$4K |
| 96133 |
|
20 |
12 |
$4K |
| 92557 |
|
202 |
177 |
$4K |
| 11721 |
|
600 |
569 |
$4K |
| 92551 |
|
57,675 |
49,850 |
$4K |
| 51600 |
|
119 |
97 |
$4K |
| 94640 |
|
409 |
357 |
$4K |
| 93922 |
|
141 |
111 |
$4K |
| 88189 |
|
60 |
50 |
$4K |
| Q0112 |
Potassium hydroxide preps |
750 |
714 |
$4K |
| 96137 |
|
44 |
26 |
$4K |
| 74019 |
|
418 |
319 |
$4K |
| 92250 |
|
176 |
119 |
$4K |
| 85018 |
|
5,857 |
5,107 |
$4K |
| 90966 |
|
178 |
174 |
$4K |
| 96132 |
|
36 |
24 |
$3K |
| 96450 |
|
49 |
45 |
$3K |
| 99281 |
|
231 |
212 |
$3K |
| 77072 |
|
459 |
375 |
$3K |
| 88346 |
|
206 |
189 |
$3K |
| 92083 |
|
244 |
201 |
$3K |
| 99100 |
|
250 |
236 |
$3K |
| Q0111 |
Wet mounts/ w preparations |
751 |
714 |
$3K |
| 99477 |
|
12 |
12 |
$3K |
| 81000 |
|
1,006 |
881 |
$3K |
| 36224 |
|
18 |
12 |
$3K |
| 99383 |
|
29 |
25 |
$3K |
| 81003 |
|
2,281 |
2,011 |
$3K |
| 96160 |
|
998 |
948 |
$3K |
| 95117 |
|
443 |
249 |
$3K |
| 92014 |
|
100 |
92 |
$3K |
| 85060 |
|
216 |
199 |
$3K |
| 99385 |
|
34 |
24 |
$3K |
| 93018 |
|
367 |
338 |
$3K |
| 96136 |
|
179 |
106 |
$3K |
| 70496 |
|
56 |
52 |
$3K |
| 96101 |
|
77 |
45 |
$3K |
| 91120 |
|
62 |
62 |
$2K |
| 88341 |
|
64 |
52 |
$2K |
| 17311 |
|
17 |
14 |
$2K |
| 81002 |
|
1,800 |
1,556 |
$2K |
| 30901 |
|
30 |
24 |
$2K |
| 97112 |
|
157 |
48 |
$2K |
| 88348 |
|
95 |
89 |
$2K |
| 99396 |
|
26 |
13 |
$2K |
| 70486 |
|
55 |
46 |
$2K |
| 90832 |
|
52 |
37 |
$2K |
| 77300 |
|
33 |
26 |
$2K |
| 97161 |
|
41 |
40 |
$2K |
| 95115 |
|
327 |
200 |
$2K |
| 76870 |
|
77 |
65 |
$2K |
| 94726 |
|
295 |
273 |
$2K |
| 73620 |
|
172 |
146 |
$2K |
| 99226 |
|
51 |
27 |
$2K |
| 72110 |
|
137 |
127 |
$2K |
| 92133 |
|
165 |
127 |
$2K |
| 36226 |
|
16 |
12 |
$2K |
| 99241 |
|
42 |
39 |
$2K |
| 77334 |
|
30 |
25 |
$2K |
| 93005 |
|
295 |
232 |
$2K |
| 96156 |
|
24 |
24 |
$2K |
| 72081 |
|
159 |
109 |
$2K |
| 90715 |
|
684 |
572 |
$2K |
| 96113 |
|
19 |
14 |
$1K |
| 90620 |
|
350 |
280 |
$1K |
| 90836 |
|
54 |
40 |
$1K |
| 99407 |
|
134 |
123 |
$1K |
| 80047 |
|
79 |
54 |
$1K |
| 74455 |
|
101 |
84 |
$1K |
| 81001 |
|
650 |
542 |
$1K |
| 99251 |
|
36 |
27 |
$1K |
| 17110 |
|
29 |
28 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 82950 |
|
242 |
196 |
$1K |
| 90670 |
|
24,469 |
21,330 |
$1K |
| 77263 |
|
14 |
14 |
$1K |
| 90656 |
|
2,136 |
2,029 |
$1K |
| 87631 |
|
245 |
242 |
$1K |
| 88302 |
|
200 |
141 |
$1K |
| 99140 |
|
605 |
544 |
$1K |
| 73600 |
|
181 |
143 |
$1K |
| 92012 |
|
61 |
52 |
$1K |
| 93923 |
|
38 |
29 |
$1K |
| 0111A |
|
19 |
13 |
$1K |
| 64643 |
|
39 |
38 |
$1K |
| 80500 |
|
75 |
65 |
$1K |
| 76856 |
|
41 |
39 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
184 |
97 |
$1K |
| 95250 |
|
26 |
26 |
$981.04 |
| 97140 |
|
83 |
27 |
$970.58 |
| 77063 |
|
44 |
43 |
$966.51 |
| 95909 |
|
15 |
13 |
$917.72 |
| 99252 |
|
12 |
12 |
$909.32 |
| 99459 |
|
93 |
88 |
$907.65 |
| 11102 |
|
30 |
27 |
$856.94 |
| 78452 |
|
29 |
29 |
$840.39 |
| 90633 |
|
6,288 |
5,568 |
$834.39 |
| 64615 |
|
14 |
13 |
$828.18 |
| 80053 |
|
102 |
58 |
$813.16 |
| 99454 |
|
19 |
13 |
$803.87 |
| 72070 |
|
114 |
95 |
$800.93 |
| 99406 |
|
68 |
67 |
$789.08 |
| 73721 |
|
15 |
12 |
$784.43 |
| 82947 |
|
224 |
166 |
$749.46 |
| 90697 |
|
1,544 |
1,217 |
$703.85 |
| 91065 |
|
89 |
81 |
$697.67 |
| 97162 |
|
28 |
12 |
$680.02 |
| 77295 |
|
12 |
12 |
$657.85 |
| 76642 |
|
27 |
24 |
$654.09 |
| 93246 |
|
106 |
90 |
$618.35 |
| 31231 |
|
12 |
12 |
$594.18 |
| 84166 |
|
75 |
68 |
$573.94 |
| 90677 |
|
1,615 |
1,576 |
$572.82 |
| 95812 |
|
15 |
13 |
$568.56 |
| 27096 |
|
14 |
13 |
$554.74 |
| 00142 |
|
12 |
12 |
$549.48 |
| 90723 |
|
13,385 |
12,026 |
$540.15 |
| 76937 |
|
81 |
67 |
$497.99 |
| 96380 |
|
36 |
35 |
$497.06 |
| J0702 |
Betamethasone acet&sod phosp |
72 |
69 |
$485.73 |
| 70250 |
|
50 |
44 |
$483.45 |
| 93308 |
|
29 |
24 |
$473.71 |
| 90680 |
|
8,249 |
7,253 |
$466.53 |
| 99224 |
|
22 |
14 |
$458.78 |
| 93880 |
|
14 |
13 |
$427.97 |
| 31575 |
|
13 |
13 |
$420.80 |
| 94690 |
|
15 |
14 |
$397.71 |
| 93298 |
|
28 |
25 |
$360.09 |
| G0452 |
Molecular pathology interpr |
289 |
249 |
$325.34 |
| 70360 |
|
44 |
36 |
$288.95 |
| 92579 |
|
12 |
12 |
$274.92 |
| 73120 |
|
42 |
41 |
$269.93 |
| 74420 |
|
25 |
25 |
$263.61 |
| 0298T |
|
92 |
92 |
$241.36 |
| 95874 |
|
43 |
39 |
$236.56 |
| 73565 |
|
34 |
32 |
$232.32 |
| 90647 |
|
13,051 |
11,677 |
$230.51 |
| 92201 |
|
858 |
490 |
$225.91 |
| 93280 |
|
16 |
12 |
$217.40 |
| J1100 |
Dexamethasone sodium phos |
1,607 |
1,417 |
$198.09 |
| 77073 |
|
19 |
14 |
$190.71 |
| J1040 |
Methylprednisolone 80 mg inj |
41 |
40 |
$188.58 |
| 93990 |
|
13 |
13 |
$180.46 |
| 97535 |
|
31 |
13 |
$162.62 |
| 77002 |
|
12 |
12 |
$154.39 |
| 90785 |
|
64 |
39 |
$149.43 |
| 93356 |
|
171 |
164 |
$140.75 |
| J1030 |
Methylprednisolone 40 mg inj |
55 |
52 |
$129.29 |
| 92587 |
|
561 |
525 |
$117.72 |
| 93242 |
|
22 |
12 |
$113.10 |
| 90688 |
|
137 |
136 |
$94.80 |
| 94618 |
|
15 |
13 |
$87.64 |
| 94664 |
|
33 |
25 |
$66.72 |
| 76000 |
|
12 |
12 |
$61.15 |
| 96381 |
|
14 |
12 |
$59.20 |
| 93290 |
|
13 |
12 |
$53.49 |
| J1885 |
Ketorolac tromethamine inj |
89 |
75 |
$49.42 |
| 11719 |
|
16 |
14 |
$5.44 |
| 93297 |
|
13 |
12 |
$4.21 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
40 |
24 |
$3.38 |
| 94760 |
|
13 |
13 |
$2.07 |
| J7620 |
Albuterol ipratrop non-comp |
14 |
14 |
$1.52 |
| 99024 |
|
6,930 |
4,402 |
$0.00 |
| 0500F |
|
208 |
177 |
$0.00 |
| 90696 |
|
759 |
647 |
$0.00 |
| 3008F |
|
689 |
607 |
$0.00 |
| 90716 |
|
641 |
588 |
$0.00 |
| 36416 |
|
681 |
600 |
$0.00 |
| 92558 |
|
66 |
50 |
$0.00 |
| 90744 |
|
31 |
30 |
$0.00 |
| 3074F |
|
387 |
377 |
$0.00 |
| D0120 |
|
49 |
48 |
$0.00 |
| 90698 |
|
194 |
192 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
253 |
187 |
$0.00 |
| 91307 |
|
66 |
44 |
$0.00 |
| 98967 |
|
26 |
12 |
$0.00 |
| 3351F |
|
64 |
54 |
$0.00 |
| D9420 |
|
20 |
20 |
$0.00 |
| Q0162 |
Ondansetron oral |
15 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
26 |
26 |
$0.00 |
| 90381 |
|
30 |
29 |
$0.00 |
| 89342 |
|
19 |
15 |
$0.00 |
| 90710 |
|
1,926 |
1,648 |
$0.00 |
| 3078F |
|
501 |
473 |
$0.00 |
| 90707 |
|
612 |
567 |
$0.00 |
| 1159F |
|
2,444 |
2,232 |
$0.00 |
| 84481 |
|
456 |
317 |
$0.00 |
| 1160F |
|
2,446 |
2,233 |
$0.00 |
| 90681 |
|
1,181 |
1,069 |
$0.00 |
| 98968 |
|
83 |
41 |
$0.00 |
| 90685 |
|
522 |
490 |
$0.00 |
| 82010 |
|
454 |
263 |
$0.00 |
| G1004 |
Cdsm ndsc |
135 |
128 |
$0.00 |
| 81206 |
|
17 |
12 |
$0.00 |
| 90700 |
|
221 |
193 |
$0.00 |
| 91311 |
|
38 |
28 |
$0.00 |
| 99072 |
|
81 |
80 |
$0.00 |
| 90380 |
|
16 |
14 |
$0.00 |
| 91308 |
|
23 |
15 |
$0.00 |
| 90691 |
|
15 |
14 |
$0.00 |
| D1120 |
|
13 |
13 |
$0.00 |
| D1110 |
|
21 |
21 |
$0.00 |
| D0220 |
|
15 |
14 |
$0.00 |
| 3288F |
|
20 |
15 |
$0.00 |