| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
24,574 |
21,670 |
$2.49M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
17,044 |
15,039 |
$1.20M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,330 |
8,390 |
$1.08M |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
7,178 |
6,798 |
$648K |
| T1015 |
Clinic visit/encounter, all-inclusive |
10,221 |
6,527 |
$378K |
| G0378 |
Hospital observation service, per hour |
1,493 |
657 |
$375K |
| 80053 |
Comprehensive metabolic panel |
25,515 |
23,541 |
$262K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,160 |
1,133 |
$200K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,499 |
6,187 |
$168K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
171 |
149 |
$146K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,467 |
1,448 |
$142K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
26,065 |
23,493 |
$137K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,743 |
3,652 |
$118K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,117 |
3,978 |
$93K |
| 80061 |
Lipid panel |
6,309 |
6,186 |
$88K |
| 80050 |
General health panel |
1,606 |
1,586 |
$83K |
| 71046 |
Radiologic examination, chest; 2 views |
5,595 |
5,422 |
$83K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,418 |
1,354 |
$80K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,980 |
2,893 |
$78K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,955 |
2,868 |
$76K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
403 |
395 |
$74K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
5,719 |
5,388 |
$72K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
828 |
810 |
$70K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,712 |
1,689 |
$58K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
736 |
705 |
$58K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
208 |
202 |
$55K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,634 |
6,211 |
$55K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,164 |
1,067 |
$53K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
228 |
224 |
$52K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,749 |
1,715 |
$51K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,923 |
2,752 |
$49K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,157 |
1,116 |
$44K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,060 |
655 |
$43K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
242 |
238 |
$41K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,995 |
3,901 |
$40K |
| X0621 |
|
443 |
289 |
$40K |
| 85027 |
|
5,865 |
4,825 |
$38K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
151 |
149 |
$37K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
4,716 |
4,583 |
$35K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
165 |
161 |
$33K |
| 72141 |
|
131 |
129 |
$31K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
765 |
749 |
$29K |
| 73630 |
|
2,582 |
2,242 |
$29K |
| 93971 |
|
462 |
442 |
$28K |
| 83735 |
|
4,856 |
4,407 |
$27K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,383 |
3,189 |
$26K |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
672 |
622 |
$26K |
| 84484 |
|
3,750 |
3,324 |
$26K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,524 |
3,474 |
$25K |
| 84703 |
|
2,658 |
2,524 |
$25K |
| 73610 |
|
1,321 |
1,185 |
$25K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
412 |
399 |
$24K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
468 |
452 |
$23K |
| 87081 |
|
3,493 |
3,392 |
$23K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
674 |
657 |
$23K |
| 71250 |
|
339 |
335 |
$21K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
490 |
442 |
$21K |
| 81003 |
|
7,599 |
7,215 |
$21K |
| 76830 |
Ultrasound, transvaginal |
441 |
426 |
$19K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
645 |
629 |
$19K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
277 |
270 |
$18K |
| 87481 |
|
431 |
312 |
$18K |
| 76536 |
|
354 |
343 |
$18K |
| 84439 |
|
2,082 |
2,028 |
$17K |
| 83690 |
|
3,705 |
3,523 |
$17K |
| 80074 |
|
278 |
269 |
$16K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
44 |
44 |
$16K |
| 86318 |
|
742 |
732 |
$15K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
560 |
542 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,176 |
1,119 |
$15K |
| 70496 |
|
95 |
95 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
2,456 |
2,305 |
$14K |
| 83880 |
|
579 |
536 |
$13K |
| 82607 |
|
1,128 |
1,106 |
$13K |
| 86780 |
|
740 |
727 |
$13K |
| 97161 |
|
310 |
300 |
$12K |
| 76642 |
|
307 |
285 |
$12K |
| 93970 |
|
155 |
151 |
$11K |
| 86618 |
|
413 |
409 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
203 |
197 |
$11K |
| 84702 |
|
597 |
462 |
$10K |
| 83970 |
|
243 |
232 |
$10K |
| 86803 |
|
488 |
479 |
$10K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
170 |
166 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
169 |
164 |
$10K |
| 82043 |
|
1,204 |
1,183 |
$10K |
| 85730 |
|
2,059 |
1,894 |
$10K |
| 76801 |
|
224 |
224 |
$10K |
| 85610 |
|
3,239 |
2,602 |
$10K |
| 76775 |
|
273 |
264 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
38,920 |
32,794 |
$9K |
| 70498 |
|
64 |
64 |
$9K |
| 87186 |
|
1,105 |
1,052 |
$9K |
| 86480 |
|
113 |
110 |
$9K |
| 87653 |
|
195 |
189 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,372 |
3,212 |
$9K |
| 84153 |
|
337 |
333 |
$9K |
| 83605 |
|
1,494 |
1,375 |
$9K |
| 72100 |
|
438 |
436 |
$9K |
| 80076 |
|
961 |
916 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
398 |
386 |
$8K |
| 82803 |
|
565 |
513 |
$8K |
| 74018 |
|
622 |
604 |
$8K |
| 87070 |
|
1,209 |
1,164 |
$8K |
| 70486 |
|
125 |
124 |
$8K |
| 82728 |
|
685 |
661 |
$8K |
| 86702 |
|
578 |
572 |
$8K |
| 87040 |
|
609 |
569 |
$8K |
| 73560 |
|
496 |
450 |
$8K |
| 86038 |
|
478 |
460 |
$7K |
| 73030 |
|
489 |
464 |
$7K |
| 86850 |
|
1,043 |
980 |
$7K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
40 |
40 |
$7K |
| 82784 |
|
347 |
332 |
$7K |
| 86701 |
|
578 |
572 |
$7K |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
342 |
335 |
$7K |
| 73130 |
|
551 |
510 |
$7K |
| 82570 |
|
913 |
873 |
$7K |
| 87340 |
|
423 |
416 |
$7K |
| 77066 |
Tomosynthesis, mammo |
79 |
79 |
$7K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
101 |
97 |
$6K |
| 0240U |
|
107 |
107 |
$6K |
| 87390 |
|
578 |
572 |
$6K |
| 84481 |
|
229 |
222 |
$6K |
| 86762 |
|
261 |
260 |
$6K |
| 87077 |
|
751 |
716 |
$6K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
403 |
391 |
$5K |
| 82746 |
|
472 |
461 |
$5K |
| 84146 |
|
200 |
198 |
$5K |
| 86140 |
|
1,636 |
1,501 |
$5K |
| 87522 |
Neg quan hep c or qual rna |
101 |
97 |
$5K |
| 12001 |
|
107 |
107 |
$5K |
| 84145 |
|
392 |
371 |
$5K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
267 |
242 |
$5K |
| 93000 |
|
208 |
202 |
$5K |
| 73110 |
|
369 |
345 |
$4K |
| 73502 |
|
238 |
230 |
$4K |
| 86665 |
|
102 |
91 |
$4K |
| 86900 |
|
1,164 |
1,083 |
$4K |
| 85651 |
|
1,309 |
1,179 |
$4K |
| 36430 |
|
100 |
68 |
$4K |
| 86901 |
|
1,158 |
1,079 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
971 |
928 |
$4K |
| 90715 |
|
431 |
417 |
$4K |
| 85378 |
|
440 |
427 |
$4K |
| 73221 |
|
12 |
12 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
72 |
66 |
$3K |
| 76641 |
|
65 |
64 |
$3K |
| 82565 |
|
507 |
488 |
$3K |
| 84403 |
|
91 |
89 |
$3K |
| 83001 |
|
145 |
143 |
$3K |
| 86706 |
|
202 |
191 |
$3K |
| 74019 |
|
183 |
178 |
$3K |
| 80164 |
|
154 |
147 |
$3K |
| 84460 |
|
361 |
352 |
$3K |
| 71271 |
|
47 |
46 |
$3K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
109 |
92 |
$2K |
| 82550 |
|
395 |
365 |
$2K |
| 84165 |
|
178 |
167 |
$2K |
| 83550 |
|
503 |
483 |
$2K |
| 73590 |
|
158 |
152 |
$2K |
| 86431 |
|
268 |
258 |
$2K |
| 86664 |
|
91 |
91 |
$2K |
| 84100 |
|
446 |
316 |
$2K |
| 80069 |
|
244 |
221 |
$2K |
| 72110 |
|
86 |
85 |
$2K |
| 84550 |
|
327 |
293 |
$2K |
| 83721 |
|
236 |
230 |
$2K |
| 72114 |
|
91 |
86 |
$2K |
| 86663 |
|
91 |
91 |
$2K |
| 84520 |
|
340 |
327 |
$2K |
| 82950 |
|
235 |
234 |
$2K |
| 84450 |
|
258 |
249 |
$2K |
| 73080 |
|
165 |
162 |
$2K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,979 |
1,594 |
$2K |
| 83525 |
|
132 |
126 |
$2K |
| 87493 |
|
40 |
40 |
$2K |
| 83615 |
|
274 |
217 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
63 |
59 |
$1K |
| 86235 |
|
14 |
12 |
$1K |
| 83655 |
|
118 |
117 |
$1K |
| 87205 |
|
362 |
344 |
$1K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
29 |
25 |
$1K |
| 59025 |
Fetal non-stress test |
482 |
288 |
$1K |
| 97165 |
|
90 |
87 |
$1K |
| 83002 |
|
66 |
66 |
$1K |
| 84681 |
|
39 |
38 |
$1K |
| 72040 |
|
83 |
81 |
$1K |
| 73090 |
|
113 |
111 |
$1K |
| 72070 |
|
60 |
58 |
$1K |
| 12011 |
|
26 |
25 |
$1K |
| 82947 |
|
268 |
263 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
25 |
25 |
$1K |
| 84402 |
|
39 |
39 |
$1K |
| 84270 |
|
40 |
40 |
$1K |
| 84155 |
|
283 |
264 |
$1K |
| 10060 |
|
12 |
12 |
$1K |
| 96376 |
|
328 |
309 |
$944.68 |
| 82077 |
|
580 |
530 |
$922.05 |
| 85018 |
|
291 |
258 |
$920.88 |
| 29125 |
|
37 |
37 |
$903.50 |
| 83516 |
|
380 |
362 |
$871.61 |
| 82248 |
|
119 |
97 |
$853.40 |
| 86334 |
|
27 |
27 |
$845.98 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,448 |
1,123 |
$842.28 |
| 86200 |
|
63 |
62 |
$825.17 |
| 72050 |
|
27 |
27 |
$820.50 |
| 86376 |
|
65 |
52 |
$817.53 |
| 82977 |
|
101 |
75 |
$805.30 |
| 86160 |
|
29 |
29 |
$771.35 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,739 |
4,358 |
$741.93 |
| 85014 |
|
244 |
210 |
$739.53 |
| 86923 |
|
50 |
39 |
$738.20 |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
16 |
13 |
$728.37 |
| 84480 |
|
73 |
72 |
$652.02 |
| 83540 |
|
77 |
76 |
$649.87 |
| 82962 |
|
917 |
669 |
$642.89 |
| 82533 |
|
53 |
48 |
$639.60 |
| 71101 |
|
43 |
43 |
$605.85 |
| 76870 |
|
12 |
12 |
$598.40 |
| 77080 |
|
12 |
12 |
$590.11 |
| 86617 |
|
12 |
12 |
$535.93 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
53 |
49 |
$465.45 |
| 90686 |
|
149 |
146 |
$464.35 |
| J2704 |
Injection, propofol, 10 mg |
3,900 |
2,998 |
$462.10 |
| 87451 |
|
44 |
43 |
$453.77 |
| 86308 |
|
55 |
55 |
$416.72 |
| 86708 |
|
26 |
25 |
$394.50 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
704 |
612 |
$392.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
223 |
215 |
$379.00 |
| 87045 |
|
57 |
56 |
$370.19 |
| 87046 |
|
57 |
56 |
$353.86 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
164 |
148 |
$345.98 |
| 84436 |
|
32 |
31 |
$333.41 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,559 |
2,196 |
$332.95 |
| 83921 |
|
15 |
14 |
$331.14 |
| J3490 |
Unclassified drugs |
228 |
174 |
$321.20 |
| 82627 |
|
13 |
13 |
$315.00 |
| 87529 |
|
89 |
84 |
$311.64 |
| 82105 |
|
15 |
13 |
$306.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,995 |
5,126 |
$299.34 |
| 93017 |
|
13 |
13 |
$292.95 |
| 93922 |
|
16 |
15 |
$291.49 |
| 82150 |
|
57 |
56 |
$285.21 |
| 73562 |
|
15 |
15 |
$257.31 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
361 |
343 |
$249.70 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12 |
12 |
$224.70 |
| 84156 |
|
72 |
66 |
$217.33 |
| 82140 |
|
62 |
57 |
$216.58 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,042 |
960 |
$176.33 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
758 |
685 |
$171.49 |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
128 |
79 |
$165.57 |
| 76857 |
|
12 |
12 |
$152.48 |
| 73140 |
|
15 |
15 |
$147.50 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$138.27 |
| 88304 |
|
59 |
59 |
$127.93 |
| 80178 |
|
12 |
12 |
$115.20 |
| 81513 |
|
253 |
247 |
$113.10 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
672 |
456 |
$106.19 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
114 |
86 |
$104.51 |
| J1644 |
Injection, heparin sodium, per 1000 units |
463 |
273 |
$91.50 |
| 88314 |
|
102 |
98 |
$85.06 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,295 |
2,505 |
$84.57 |
| J2060 |
Injection, lorazepam, 2 mg |
259 |
235 |
$70.34 |
| 94010 |
|
13 |
13 |
$69.30 |
| 85045 |
|
14 |
13 |
$57.96 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
523 |
354 |
$55.25 |
| 82010 |
|
17 |
13 |
$53.50 |
| 80179 |
|
47 |
46 |
$51.72 |
| J1741 |
Injection, ibuprofen, 100 mg |
148 |
105 |
$50.60 |
| 76882 |
|
13 |
13 |
$49.26 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
299 |
291 |
$39.93 |
| 85049 |
|
43 |
41 |
$38.10 |
| 85660 |
|
14 |
13 |
$36.08 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,974 |
1,558 |
$18.69 |
| J1630 |
Injection, haloperidol, up to 5 mg |
18 |
14 |
$13.41 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
52 |
51 |
$11.27 |
| 87324 |
|
25 |
24 |
$9.50 |
| 87449 |
|
54 |
52 |
$9.50 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
53 |
45 |
$8.60 |
| J1815 |
Injection, insulin, per 5 units |
84 |
55 |
$7.86 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
202 |
186 |
$6.80 |
| 88300 |
|
26 |
26 |
$3.75 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
228 |
173 |
$3.74 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,699 |
1,416 |
$1.47 |
| 3046F |
|
335 |
333 |
$0.00 |
| 3050F |
|
1,039 |
1,020 |
$0.00 |
| 3078F |
|
1,026 |
1,003 |
$0.00 |
| 3051F |
|
329 |
322 |
$0.00 |
| 3077F |
|
30 |
29 |
$0.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
14 |
14 |
$0.00 |
| G0204 |
Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral |
13 |
13 |
$0.00 |
| 3060F |
|
288 |
280 |
$0.00 |
| 3048F |
|
2,148 |
2,117 |
$0.00 |
| 3052F |
|
187 |
186 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
69 |
64 |
$0.00 |
| 3011F |
|
4,808 |
4,730 |
$0.00 |
| 3061F |
|
502 |
496 |
$0.00 |
| 3049F |
|
1,167 |
1,153 |
$0.00 |
| 3044F |
|
1,741 |
1,725 |
$0.00 |
| 3074F |
|
1,077 |
1,054 |
$0.00 |
| 3079F |
|
40 |
39 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
16 |
13 |
$0.00 |