| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
52,887 |
45,418 |
$9.17M |
| 96361 |
|
24,064 |
20,831 |
$8.53M |
| 99285 |
|
46,761 |
42,226 |
$7.96M |
| 99283 |
|
46,919 |
43,465 |
$7.32M |
| 99284 |
|
41,166 |
38,022 |
$6.32M |
| 99214 |
|
20,531 |
18,277 |
$3.33M |
| 97110 |
|
51,530 |
16,708 |
$3.28M |
| 99212 |
|
16,438 |
15,577 |
$2.53M |
| 87637 |
|
18,823 |
17,775 |
$2.10M |
| 99282 |
|
12,603 |
12,134 |
$1.94M |
| 74177 |
|
12,866 |
12,204 |
$1.94M |
| U0004 |
Cov-19 test non-cdc hgh thru |
23,570 |
21,758 |
$1.64M |
| 96360 |
|
9,863 |
7,870 |
$1.26M |
| 70450 |
|
9,794 |
9,165 |
$1.18M |
| S9485 |
Crisis intervention mental h |
2,603 |
1,440 |
$1.18M |
| 96413 |
|
4,572 |
2,722 |
$1.13M |
| 99211 |
|
6,187 |
5,723 |
$1.01M |
| 96365 |
|
8,052 |
6,324 |
$893K |
| G0463 |
Hospital outpt clinic visit |
32,750 |
26,346 |
$794K |
| 77067 |
|
11,626 |
11,517 |
$558K |
| 97161 |
|
8,281 |
7,856 |
$542K |
| 20611 |
|
1,347 |
1,064 |
$483K |
| 94640 |
|
8,658 |
5,914 |
$477K |
| 99203 |
|
2,891 |
2,828 |
$476K |
| 99291 |
|
2,695 |
2,547 |
$462K |
| 71260 |
|
4,934 |
4,715 |
$450K |
| 96366 |
|
2,314 |
1,914 |
$449K |
| 85025 |
|
97,287 |
79,984 |
$416K |
| 71046 |
|
26,208 |
24,447 |
$410K |
| G0378 |
Hospital observation per hr |
6,745 |
4,952 |
$392K |
| 80307 |
|
12,012 |
10,373 |
$381K |
| U0003 |
Cov-19 amp prb hgh thruput |
7,158 |
6,171 |
$373K |
| 97140 |
|
11,333 |
4,677 |
$354K |
| 77063 |
|
4,992 |
4,957 |
$336K |
| 59025 |
|
1,332 |
779 |
$330K |
| U0005 |
Infec agen detec ampli probe |
18,145 |
16,389 |
$327K |
| 87491 |
|
11,472 |
11,132 |
$318K |
| 87591 |
|
11,485 |
11,144 |
$314K |
| G2023 |
Specimen collect covid-19 |
16,290 |
14,793 |
$286K |
| 76856 |
|
2,299 |
2,221 |
$264K |
| 76830 |
|
2,581 |
2,498 |
$255K |
| 12001 |
|
1,141 |
1,105 |
$249K |
| 92507 |
|
2,002 |
700 |
$245K |
| 76700 |
|
1,556 |
1,528 |
$239K |
| 99204 |
|
1,421 |
1,396 |
$238K |
| 74176 |
|
1,673 |
1,576 |
$217K |
| 93971 |
|
1,138 |
1,068 |
$208K |
| 76705 |
|
2,465 |
2,357 |
$207K |
| 76642 |
|
2,492 |
2,184 |
$201K |
| 45378 |
|
179 |
178 |
$197K |
| 93975 |
|
1,939 |
1,862 |
$196K |
| 84484 |
|
32,270 |
22,062 |
$190K |
| 76770 |
|
1,499 |
1,453 |
$186K |
| 99215 |
Prolong outpt/office vis |
1,082 |
1,059 |
$176K |
| ATP14 |
|
21,088 |
17,231 |
$172K |
| 87880 |
|
14,461 |
13,897 |
$171K |
| 78452 |
|
577 |
548 |
$171K |
| 80053 |
|
60,308 |
50,706 |
$166K |
| 70496 |
|
1,177 |
1,112 |
$160K |
| G0480 |
Drug test def 1-7 classes |
8,008 |
6,663 |
$159K |
| 87635 |
|
3,462 |
3,239 |
$156K |
| 71250 |
|
2,919 |
2,808 |
$152K |
| 96374 |
|
27,020 |
23,972 |
$134K |
| 81025 |
|
22,476 |
20,642 |
$127K |
| ATP08 |
|
18,390 |
15,421 |
$125K |
| 84443 |
|
14,446 |
13,829 |
$125K |
| 80048 |
|
53,263 |
44,030 |
$117K |
| 87088 |
|
20,058 |
18,467 |
$106K |
| 73630 |
|
5,728 |
5,093 |
$100K |
| 87389 |
|
4,778 |
4,690 |
$94K |
| 93005 |
|
42,007 |
36,123 |
$94K |
| 93306 |
|
814 |
756 |
$94K |
| 73564 |
|
3,620 |
3,019 |
$90K |
| 87633 |
|
280 |
276 |
$89K |
| 83036 |
|
17,375 |
16,660 |
$88K |
| 82306 |
|
5,213 |
5,096 |
$88K |
| 99202 |
|
606 |
582 |
$86K |
| 83690 |
|
19,133 |
17,133 |
$84K |
| 76536 |
|
1,027 |
1,002 |
$83K |
| 43239 |
|
138 |
134 |
$82K |
| 84702 |
|
6,402 |
5,182 |
$81K |
| 73030 |
|
4,130 |
3,694 |
$77K |
| 96367 |
|
509 |
391 |
$75K |
| 85027 |
|
18,884 |
16,390 |
$72K |
| 72100 |
|
2,791 |
2,705 |
$72K |
| 83735 |
|
22,530 |
17,120 |
$72K |
| 87480 |
|
4,548 |
4,356 |
$72K |
| 83655 |
|
6,288 |
6,183 |
$72K |
| 87510 |
|
4,548 |
4,356 |
$71K |
| 87660 |
|
4,547 |
4,355 |
$71K |
| 73610 |
|
4,892 |
4,549 |
$71K |
| 88305 |
|
5,321 |
4,985 |
$66K |
| 80050 |
|
4,339 |
4,134 |
$65K |
| 83880 |
|
4,702 |
4,185 |
$65K |
| 73130 |
|
4,547 |
3,948 |
$64K |
| J1642 |
Inj heparin sodium per 10 u |
5,538 |
2,372 |
$63K |
| 99281 |
|
452 |
423 |
$62K |
| 83605 |
|
10,653 |
8,184 |
$61K |
| 86803 |
|
5,956 |
5,786 |
$61K |
| 77080 |
|
1,573 |
1,542 |
$61K |
| 87804 |
|
5,497 |
3,114 |
$60K |
| 80305 |
|
10,761 |
8,591 |
$60K |
| 87077 |
|
10,754 |
10,009 |
$58K |
| 87631 |
|
560 |
541 |
$58K |
| 94060 |
|
1,046 |
1,010 |
$54K |
| 87040 |
|
9,299 |
4,858 |
$53K |
| J2469 |
Palonosetron hcl |
989 |
539 |
$52K |
| 96415 |
|
244 |
190 |
$52K |
| 86780 |
|
4,501 |
4,436 |
$51K |
| C9803 |
Hopd covid-19 spec collect |
6,930 |
6,343 |
$50K |
| 77065 |
Tomosynthesis, mammo |
1,243 |
1,140 |
$49K |
| 96372 |
|
12,200 |
9,489 |
$49K |
| 81001 |
|
23,389 |
21,446 |
$48K |
| 86850 |
|
6,145 |
5,665 |
$48K |
| 87070 |
|
7,305 |
6,945 |
$48K |
| 87186 |
|
8,208 |
7,571 |
$47K |
| G0108 |
Diab manage trn per indiv |
577 |
499 |
$47K |
| 72125 |
|
3,037 |
2,838 |
$45K |
| 10060 |
|
286 |
268 |
$45K |
| 70486 |
|
565 |
545 |
$44K |
| 97162 |
|
740 |
706 |
$43K |
| 82728 |
|
5,172 |
4,907 |
$42K |
| 97165 |
|
523 |
494 |
$41K |
| 93017 |
|
605 |
572 |
$40K |
| 73110 |
|
2,971 |
2,701 |
$40K |
| 87081 |
|
7,177 |
6,998 |
$40K |
| ATP15 |
|
6,441 |
5,103 |
$40K |
| J1100 |
Dexamethasone sodium phos |
9,195 |
7,164 |
$40K |
| 71045 |
|
11,111 |
10,266 |
$38K |
| 81003 |
|
23,879 |
22,104 |
$37K |
| 94729 |
|
1,313 |
1,280 |
$36K |
| 96375 |
|
19,405 |
15,946 |
$36K |
| 94726 |
|
1,191 |
1,162 |
$35K |
| 73502 |
|
2,007 |
1,895 |
$35K |
| 99395 |
|
232 |
230 |
$35K |
| 20610 |
|
232 |
216 |
$35K |
| 66984 |
|
27 |
26 |
$35K |
| 77062 |
|
465 |
459 |
$34K |
| 77066 |
Tomosynthesis, mammo |
1,187 |
1,160 |
$33K |
| 71271 |
|
1,018 |
995 |
$33K |
| 87340 |
|
3,929 |
3,837 |
$32K |
| 84703 |
|
5,494 |
5,194 |
$32K |
| J1650 |
Inj enoxaparin sodium |
3,939 |
1,799 |
$32K |
| 80061 |
|
16,035 |
15,463 |
$31K |
| 99396 |
|
189 |
188 |
$29K |
| 82607 |
|
3,621 |
3,454 |
$27K |
| 84439 |
|
4,944 |
4,672 |
$27K |
| 90686 |
|
1,861 |
1,781 |
$26K |
| J0185 |
Inj., aprepitant, 1 mg |
74 |
39 |
$25K |
| 92557 |
|
294 |
290 |
$24K |
| 92567 |
|
505 |
499 |
$24K |
| 85610 |
|
12,806 |
8,972 |
$23K |
| 90715 |
|
1,195 |
1,106 |
$23K |
| 90471 |
|
5,916 |
5,487 |
$22K |
| 86762 |
|
1,747 |
1,724 |
$22K |
| 83550 |
|
4,507 |
4,258 |
$22K |
| 85379 |
|
3,377 |
3,183 |
$22K |
| 74018 |
|
433 |
406 |
$21K |
| 86787 |
|
1,835 |
1,815 |
$21K |
| 73562 |
|
1,999 |
1,706 |
$21K |
| 87502 |
|
346 |
338 |
$20K |
| 86618 |
|
1,674 |
806 |
$20K |
| J2405 |
Ondansetron hcl injection |
20,332 |
16,918 |
$19K |
| J1885 |
Ketorolac tromethamine inj |
17,555 |
14,970 |
$19K |
| 86480 |
|
425 |
423 |
$19K |
| ATP17 |
|
3,971 |
3,494 |
$18K |
| 36415 |
|
128,642 |
99,518 |
$18K |
| 83540 |
|
5,025 |
4,752 |
$18K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
20,630 |
18,590 |
$18K |
| 86900 |
|
6,422 |
5,908 |
$17K |
| 29125 |
|
121 |
114 |
$17K |
| 95070 |
|
15 |
15 |
$17K |
| 12002 |
|
78 |
75 |
$17K |
| 82803 |
|
1,246 |
1,022 |
$15K |
| 82746 |
|
2,134 |
2,003 |
$15K |
| 82951 |
|
967 |
830 |
$15K |
| 86901 |
|
6,416 |
5,902 |
$14K |
| 12011 |
|
67 |
66 |
$14K |
| 90714 |
|
489 |
470 |
$13K |
| 0012A |
|
519 |
493 |
$13K |
| 77061 |
|
166 |
165 |
$13K |
| 73140 |
|
605 |
573 |
$12K |
| 86140 |
|
3,578 |
3,308 |
$12K |
| J0696 |
Ceftriaxone sodium injection |
4,765 |
3,447 |
$12K |
| J3010 |
Fentanyl citrate injection |
9,294 |
8,233 |
$12K |
| 99393 |
|
70 |
70 |
$11K |
| 97112 |
|
321 |
133 |
$11K |
| 82570 |
|
4,960 |
4,706 |
$11K |
| 0011A |
|
532 |
501 |
$11K |
| U0002 |
Covid-19 lab test non-cdc |
823 |
763 |
$11K |
| 87086 |
|
1,601 |
1,512 |
$10K |
| 70491 |
|
130 |
123 |
$10K |
| J2704 |
Inj, propofol, 10 mg |
8,182 |
6,692 |
$10K |
| 76815 |
|
128 |
117 |
$10K |
| 73080 |
|
850 |
777 |
$10K |
| 85651 |
|
4,096 |
3,822 |
$10K |
| 87205 |
|
3,396 |
3,095 |
$9K |
| 76882 |
|
162 |
147 |
$9K |
| 70498 |
|
1,084 |
1,024 |
$9K |
| J2250 |
Inj midazolam hydrochloride |
8,932 |
7,691 |
$9K |
| 84153 |
|
1,755 |
1,666 |
$9K |
| J0131 |
Inj, acetaminophen (nos) |
1,556 |
1,400 |
$9K |
| 87522 |
Neg quan hep c or qual rna |
372 |
351 |
$9K |
| 83970 |
|
750 |
712 |
$9K |
| ATP03 |
|
3,275 |
2,891 |
$9K |
| 80076 |
|
10,227 |
9,330 |
$8K |
| 82962 |
|
28,478 |
15,664 |
$8K |
| 76870 |
|
112 |
106 |
$8K |
| 97014 |
|
22 |
12 |
$7K |
| J7050 |
Normal saline solution infus |
10,068 |
5,262 |
$7K |
| 86706 |
|
1,102 |
1,061 |
$7K |
| A9270 |
Non-covered item or service |
8,111 |
3,529 |
$7K |
| 97035 |
|
70 |
28 |
$7K |
| 82784 |
|
771 |
724 |
$7K |
| 43235 |
|
12 |
12 |
$7K |
| 72050 |
|
179 |
174 |
$7K |
| 82043 |
|
3,195 |
3,099 |
$6K |
| 96110 |
|
39 |
39 |
$6K |
| 86141 |
|
603 |
549 |
$6K |
| J1200 |
Diphenhydramine hcl injectio |
6,237 |
5,006 |
$6K |
| 76817 |
|
154 |
145 |
$6K |
| 80197 |
|
2,462 |
1,532 |
$5K |
| 0001A |
|
142 |
136 |
$5K |
| J1815 |
Insulin injection |
2,187 |
762 |
$5K |
| G0297 |
Ldct for lung ca screen |
184 |
182 |
$5K |
| 80164 |
|
919 |
807 |
$5K |
| 87807 |
|
414 |
403 |
$5K |
| J2270 |
Morphine sulfate injection |
6,239 |
4,981 |
$5K |
| 85730 |
|
1,550 |
1,421 |
$5K |
| 82950 |
|
1,072 |
1,067 |
$4K |
| 97530 |
|
142 |
95 |
$4K |
| J3490 |
Drugs unclassified injection |
373 |
304 |
$4K |
| 0002A |
|
112 |
104 |
$4K |
| 99152 |
|
1,319 |
1,254 |
$4K |
| 86038 |
|
571 |
468 |
$4K |
| J1170 |
Hydromorphone injection |
3,318 |
2,354 |
$4K |
| ATP11 |
|
780 |
693 |
$4K |
| J3370 |
Vancomycin hcl injection |
1,182 |
704 |
$4K |
| 97802 |
|
46 |
46 |
$4K |
| J0690 |
Cefazolin sodium injection |
2,509 |
1,963 |
$4K |
| 88341 |
|
134 |
120 |
$4K |
| 84403 |
|
207 |
198 |
$4K |
| ATP10 |
|
749 |
684 |
$4K |
| Q0162 |
Ondansetron oral |
5,816 |
5,274 |
$4K |
| ATP02 |
|
1,014 |
899 |
$4K |
| 11102 |
|
12 |
12 |
$3K |
| J2930 |
Methylprednisolone injection |
1,474 |
1,036 |
$3K |
| 73590 |
|
441 |
390 |
$3K |
| J0171 |
Adrenalin epinephrine inject |
859 |
760 |
$3K |
| 96368 |
|
117 |
89 |
$3K |
| J2543 |
Piperacillin/tazobactam |
212 |
108 |
$3K |
| 94070 |
|
15 |
15 |
$3K |
| 88304 |
|
795 |
752 |
$3K |
| 88342 |
|
562 |
524 |
$3K |
| ATP18 |
|
609 |
556 |
$3K |
| 86704 |
|
410 |
394 |
$3K |
| 98926 |
|
60 |
54 |
$2K |
| 17110 |
|
14 |
14 |
$2K |
| Q3014 |
Telehealth facility fee |
1,472 |
1,285 |
$2K |
| 97803 |
|
31 |
30 |
$2K |
| J1756 |
Iron sucrose injection |
88 |
40 |
$2K |
| 90651 |
|
12 |
12 |
$2K |
| J2060 |
Lorazepam injection |
4,027 |
3,057 |
$2K |
| G0279 |
Tomosynthesis, mammo |
125 |
123 |
$2K |
| 90832 |
|
16 |
13 |
$2K |
| 90472 |
|
771 |
744 |
$2K |
| 82550 |
|
2,699 |
2,440 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
2,327 |
1,522 |
$2K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
574 |
546 |
$2K |
| 84466 |
|
217 |
212 |
$2K |
| ATP09 |
|
290 |
249 |
$2K |
| 85652 |
|
912 |
868 |
$2K |
| 73090 |
|
219 |
204 |
$1K |
| 82105 |
|
123 |
116 |
$1K |
| 90656 |
|
68 |
67 |
$1K |
| 82077 |
|
1,764 |
1,610 |
$1K |
| 86003 |
|
14 |
14 |
$1K |
| 72110 |
|
28 |
28 |
$1K |
| 71101 |
|
111 |
108 |
$1K |
| ATP07 |
|
254 |
209 |
$1K |
| 96376 |
|
2,740 |
2,469 |
$986.86 |
| J1790 |
Droperidol injection |
330 |
255 |
$973.03 |
| 84100 |
|
5,562 |
3,944 |
$972.99 |
| J0689 |
Inj cefazolin sodium, baxter |
853 |
760 |
$952.09 |
| 77091 |
|
325 |
308 |
$942.71 |
| ATP16 |
|
210 |
171 |
$937.34 |
| 90732 |
|
71 |
61 |
$898.87 |
| 97116 |
|
142 |
68 |
$853.46 |
| 85018 |
|
887 |
668 |
$748.66 |
| J2272 |
Inj, morphine (fresenius) |
1,011 |
847 |
$744.98 |
| 74019 |
|
105 |
103 |
$720.96 |
| 80178 |
|
244 |
212 |
$700.50 |
| 74174 |
|
15 |
12 |
$682.20 |
| 86364 |
|
67 |
64 |
$630.05 |
| 94010 |
|
12 |
12 |
$607.69 |
| J2765 |
Metoclopramide hcl injection |
4,308 |
3,787 |
$606.27 |
| 84450 |
|
581 |
536 |
$595.23 |
| J3475 |
Inj magnesium sulfate |
1,229 |
816 |
$590.45 |
| J7120 |
Ringers lactate infusion |
3,999 |
3,231 |
$579.77 |
| V5266 |
Battery for hearing device |
16 |
16 |
$572.16 |
| 82565 |
|
1,545 |
1,461 |
$543.15 |
| J7030 |
Normal saline solution infus |
4,438 |
2,658 |
$523.25 |
| 85014 |
|
639 |
477 |
$519.95 |
| 76801 |
|
24 |
24 |
$493.35 |
| 86592 |
|
169 |
161 |
$485.63 |
| 0003A |
|
16 |
16 |
$458.70 |
| 76376 |
|
1,009 |
937 |
$419.80 |
| 86665 |
|
26 |
13 |
$416.00 |
| 90746 |
|
17 |
12 |
$390.55 |
| 84156 |
|
214 |
189 |
$389.55 |
| 99218 |
|
26 |
12 |
$374.19 |
| 72072 |
|
14 |
12 |
$367.75 |
| 83001 |
|
27 |
27 |
$366.18 |
| 86431 |
|
95 |
93 |
$352.38 |
| 74022 |
|
31 |
26 |
$341.56 |
| 94664 |
|
279 |
220 |
$340.11 |
| 84460 |
|
737 |
691 |
$324.03 |
| 84165 |
|
67 |
63 |
$307.60 |
| J1644 |
Inj heparin sodium per 1000u |
234 |
103 |
$300.86 |
| 86258 |
|
14 |
14 |
$284.76 |
| 86308 |
|
65 |
62 |
$278.10 |
| 83615 |
|
654 |
596 |
$265.25 |
| 83516 |
|
17 |
12 |
$263.00 |
| 87427 |
|
26 |
25 |
$253.33 |
| 86200 |
|
25 |
25 |
$205.56 |
| 84402 |
|
12 |
12 |
$202.14 |
| 82378 |
|
41 |
36 |
$200.64 |
| 87210 |
|
45 |
41 |
$198.00 |
| 84146 |
|
15 |
15 |
$194.37 |
| 87045 |
|
24 |
24 |
$180.17 |
| 87046 |
|
24 |
24 |
$180.17 |
| 86664 |
|
13 |
13 |
$175.37 |
| 83002 |
|
13 |
13 |
$168.90 |
| 84163 |
|
12 |
12 |
$164.88 |
| J3301 |
Triamcinolone acet inj nos |
321 |
302 |
$155.38 |
| 80051 |
|
12 |
12 |
$139.07 |
| G0008 |
Admin influenza virus vac |
493 |
465 |
$126.17 |
| 82150 |
|
25 |
25 |
$100.20 |
| 84520 |
|
825 |
770 |
$94.96 |
| G0475 |
Hiv combination assay |
205 |
204 |
$88.60 |
| 86800 |
|
14 |
13 |
$84.18 |
| 82140 |
|
13 |
12 |
$79.74 |
| 85045 |
|
48 |
42 |
$73.92 |
| 80069 |
|
327 |
296 |
$62.44 |
| 82947 |
|
130 |
129 |
$52.65 |
| J1040 |
Methylprednisolone 80 mg inj |
643 |
617 |
$52.01 |
| J2001 |
Lidocaine injection |
3,100 |
2,866 |
$51.70 |
| 82952 |
|
13 |
13 |
$44.98 |
| 84550 |
|
195 |
180 |
$37.75 |
| 73060 |
|
15 |
14 |
$37.21 |
| 82248 |
|
293 |
242 |
$36.86 |
| 82270 |
|
14 |
12 |
$30.24 |
| 80143 |
|
321 |
303 |
$15.31 |
| 80179 |
|
243 |
231 |
$15.31 |
| 84478 |
|
12 |
12 |
$13.33 |
| 84155 |
|
30 |
28 |
$9.72 |
| J8499 |
Oral prescrip drug non chemo |
357 |
114 |
$7.83 |
| 82247 |
|
20 |
12 |
$4.43 |
| 82040 |
|
17 |
17 |
$4.37 |
| 99406 |
|
72 |
60 |
$3.49 |
| Q0163 |
Diphenhydramine hcl 50mg |
379 |
275 |
$0.13 |
| 76942 |
|
14 |
13 |
$0.00 |
| G8979 |
Mobility goal status |
501 |
468 |
$0.00 |
| 94150 |
|
47 |
47 |
$0.00 |
| G8978 |
Mobility current status |
488 |
457 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
14 |
13 |
$0.00 |
| S0164 |
Injection pantroprazole |
168 |
85 |
$0.00 |
| 91300 |
|
168 |
144 |
$0.00 |
| G8984 |
Carry current status |
48 |
43 |
$0.00 |
| 87469 |
|
14 |
14 |
$0.00 |
| 90670 |
|
32 |
30 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
53 |
53 |
$0.00 |
| G8985 |
Carry goal status |
49 |
43 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
66 |
48 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
13 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
16 |
14 |
$0.00 |
| 77002 |
|
15 |
14 |
$0.00 |
| J2359 |
Inj. olanzapine, 0.5mg |
20 |
12 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| 94760 |
|
578 |
553 |
$0.00 |
| 88738 |
|
546 |
535 |
$0.00 |
| 94761 |
|
568 |
525 |
$0.00 |
| A9500 |
Tc99m sestamibi |
629 |
587 |
$0.00 |
| 36416 |
|
114 |
87 |
$0.00 |
| J1630 |
Haloperidol injection |
175 |
133 |
$0.00 |
| 88311 |
|
15 |
14 |
$0.00 |
| 95012 |
|
71 |
68 |
$0.00 |
| 99292 |
|
13 |
12 |
$0.00 |
| J0280 |
Aminophyllin 250 mg inj |
327 |
309 |
$0.00 |
| 36591 |
|
548 |
289 |
$0.00 |
| 87484 |
|
15 |
15 |
$0.00 |
| J2785 |
Regadenoson injection |
442 |
422 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
97 |
92 |
$0.00 |
| 83521 |
|
13 |
12 |
$0.00 |
| 0241U |
|
20 |
20 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
123 |
107 |
$0.00 |
| 91301 |
|
530 |
475 |
$0.00 |
| J3480 |
Inj potassium chloride |
48 |
26 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
27 |
26 |
$0.00 |
| J3360 |
Diazepam injection |
17 |
14 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
70 |
65 |
$0.00 |
| G8982 |
Body pos goal status |
28 |
28 |
$0.00 |
| 87478 |
|
14 |
14 |
$0.00 |
| G8981 |
Body pos current status |
28 |
28 |
$0.00 |
| 87468 |
|
15 |
15 |
$0.00 |
| G8980 |
Mobility d/c status |
25 |
25 |
$0.00 |