| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
136,534 |
90,718 |
$9.28M |
| 99283 |
|
54,302 |
50,387 |
$6.08M |
| 96361 |
|
20,111 |
16,177 |
$5.34M |
| 99284 |
|
38,318 |
35,204 |
$3.50M |
| 99285 |
|
42,790 |
38,530 |
$3.14M |
| 74177 |
|
9,909 |
9,440 |
$1.63M |
| 99282 |
|
13,135 |
12,462 |
$1.36M |
| 70450 |
|
8,890 |
8,398 |
$1.19M |
| 96365 |
|
13,523 |
10,145 |
$1.13M |
| 96366 |
|
5,931 |
3,179 |
$832K |
| 74176 |
|
3,961 |
3,825 |
$651K |
| 43239 |
|
1,983 |
1,957 |
$596K |
| 96360 |
|
5,378 |
4,702 |
$591K |
| 87635 |
|
18,724 |
17,528 |
$562K |
| 45385 |
|
1,352 |
1,328 |
$562K |
| C8929 |
Tte w or wo fol wcon,doppler |
2,757 |
2,699 |
$536K |
| 87631 |
|
7,664 |
7,331 |
$471K |
| 10060 |
|
2,072 |
1,947 |
$397K |
| 12001 |
|
1,779 |
1,746 |
$376K |
| 95810 |
|
862 |
853 |
$356K |
| 71275 |
|
2,187 |
2,134 |
$347K |
| 76830 |
|
3,735 |
3,682 |
$322K |
| 76705 |
|
3,832 |
3,741 |
$316K |
| J9271 |
Inj pembrolizumab |
108 |
80 |
$311K |
| 78815 |
|
593 |
582 |
$286K |
| 59025 |
|
2,825 |
1,441 |
$285K |
| 93306 |
|
1,066 |
1,052 |
$275K |
| 45380 |
|
1,044 |
1,026 |
$260K |
| 80053 |
|
59,823 |
51,108 |
$245K |
| 77067 |
|
5,778 |
5,755 |
$232K |
| 80307 |
|
4,268 |
3,903 |
$231K |
| 96367 |
|
3,955 |
2,445 |
$229K |
| 96413 |
|
4,051 |
2,378 |
$223K |
| 93321 |
|
1,078 |
1,061 |
$216K |
| 93971 |
|
2,399 |
2,315 |
$205K |
| 76856 |
|
4,121 |
4,056 |
$187K |
| 76816 |
|
2,618 |
2,546 |
$183K |
| 70496 |
|
1,185 |
1,144 |
$175K |
| 76811 |
|
2,268 |
2,256 |
$160K |
| 99281 |
|
1,465 |
1,381 |
$160K |
| C9803 |
Hopd covid-19 spec collect |
6,663 |
5,658 |
$148K |
| G0378 |
Hospital observation per hr |
4,142 |
3,645 |
$134K |
| 12011 |
|
547 |
536 |
$127K |
| 71046 |
|
17,918 |
16,856 |
$126K |
| 70553 |
|
590 |
579 |
$126K |
| 76815 |
|
2,026 |
1,752 |
$125K |
| 72148 |
|
1,003 |
986 |
$124K |
| 76801 |
|
2,202 |
1,874 |
$118K |
| 96415 |
|
583 |
421 |
$115K |
| 29125 |
|
638 |
622 |
$113K |
| 84484 |
|
31,149 |
19,737 |
$112K |
| 76642 |
|
1,240 |
1,128 |
$102K |
| 70551 |
|
753 |
734 |
$102K |
| 93005 |
|
34,284 |
30,765 |
$96K |
| 78452 |
|
338 |
328 |
$95K |
| 95811 |
|
264 |
261 |
$91K |
| 12002 |
|
514 |
505 |
$90K |
| 93017 |
|
909 |
886 |
$81K |
| 90715 |
|
5,134 |
4,929 |
$80K |
| 71260 |
|
1,692 |
1,666 |
$78K |
| 96372 |
|
25,124 |
18,181 |
$68K |
| J7298 |
Mirena, 52 mg |
191 |
189 |
$67K |
| 94726 |
|
1,612 |
1,592 |
$62K |
| 71250 |
|
1,446 |
1,425 |
$60K |
| 76817 |
|
1,936 |
1,658 |
$57K |
| 94640 |
|
6,796 |
5,055 |
$57K |
| 83605 |
|
10,635 |
9,585 |
$55K |
| 70491 |
|
368 |
352 |
$54K |
| 45378 |
|
164 |
163 |
$50K |
| 97110 |
|
1,830 |
938 |
$49K |
| G0480 |
Drug test def 1-7 classes |
8,943 |
7,973 |
$46K |
| 72125 |
|
3,802 |
3,650 |
$46K |
| 58300 |
|
410 |
401 |
$46K |
| 96374 |
|
22,861 |
20,163 |
$46K |
| 87502 |
|
3,635 |
3,518 |
$44K |
| 73630 |
|
4,223 |
4,102 |
$42K |
| 93976 |
|
1,102 |
1,062 |
$41K |
| 92507 |
|
973 |
330 |
$40K |
| 70486 |
|
1,320 |
1,272 |
$39K |
| 90471 |
|
9,725 |
9,423 |
$39K |
| J2469 |
Palonosetron hcl |
752 |
457 |
$38K |
| 73610 |
|
3,703 |
3,575 |
$37K |
| 95806 |
|
191 |
184 |
$37K |
| 29515 |
|
153 |
144 |
$35K |
| 73564 |
|
2,810 |
2,740 |
$35K |
| 73030 |
|
3,303 |
3,195 |
$35K |
| 64400 |
|
115 |
102 |
$33K |
| 94729 |
|
1,640 |
1,619 |
$32K |
| 70498 |
|
1,192 |
1,155 |
$31K |
| 90686 |
|
4,181 |
4,133 |
$31K |
| 96375 |
|
21,740 |
17,739 |
$31K |
| 77063 |
|
845 |
842 |
$31K |
| 72100 |
|
2,034 |
1,991 |
$31K |
| 76805 |
|
472 |
465 |
$30K |
| 93225 |
|
850 |
841 |
$30K |
| 97530 |
|
1,284 |
612 |
$29K |
| 73130 |
|
3,425 |
3,336 |
$27K |
| 83880 |
|
5,817 |
5,351 |
$27K |
| 74018 |
|
1,871 |
1,785 |
$26K |
| 94060 |
|
1,365 |
1,350 |
$26K |
| 76536 |
|
313 |
309 |
$24K |
| 90670 |
|
2,681 |
2,649 |
$24K |
| J1453 |
Fosaprepitant injection |
344 |
218 |
$23K |
| 73110 |
|
2,605 |
2,516 |
$23K |
| 93970 |
|
274 |
270 |
$23K |
| J7307 |
Etonogestrel implant system |
57 |
54 |
$22K |
| 95910 |
|
148 |
129 |
$22K |
| 97140 |
|
1,123 |
561 |
$22K |
| 85025 |
|
64,251 |
53,968 |
$21K |
| 36415 |
|
59,010 |
47,197 |
$21K |
| 72141 |
|
148 |
143 |
$20K |
| 73502 |
|
2,008 |
1,939 |
$20K |
| 93325 |
|
1,069 |
1,050 |
$20K |
| 80048 |
|
7,545 |
6,119 |
$20K |
| 87591 |
|
2,037 |
1,975 |
$20K |
| 76770 |
|
233 |
226 |
$19K |
| 90647 |
|
1,508 |
1,485 |
$18K |
| 77336 |
|
387 |
152 |
$18K |
| 92551 |
|
180 |
179 |
$18K |
| 74174 |
|
181 |
176 |
$17K |
| 93798 |
|
2,916 |
627 |
$17K |
| 87040 |
|
2,282 |
2,104 |
$17K |
| 20610 |
|
201 |
149 |
$16K |
| 73562 |
|
1,227 |
1,193 |
$16K |
| 93226 |
|
850 |
841 |
$15K |
| 11981 |
|
37 |
37 |
$15K |
| 87633 |
|
299 |
295 |
$15K |
| 66984 |
|
32 |
24 |
$15K |
| 76813 |
|
195 |
192 |
$14K |
| 71045 |
|
12,148 |
11,222 |
$13K |
| 97162 |
|
441 |
430 |
$13K |
| 85379 |
|
2,300 |
2,246 |
$13K |
| 97161 |
|
425 |
402 |
$12K |
| 73140 |
|
1,267 |
1,234 |
$11K |
| 76870 |
|
143 |
136 |
$11K |
| 73080 |
|
1,529 |
1,485 |
$11K |
| 76700 |
|
117 |
117 |
$11K |
| 43235 |
|
27 |
27 |
$10K |
| 90472 |
|
2,507 |
2,455 |
$10K |
| 96376 |
|
6,960 |
4,804 |
$10K |
| 95908 |
|
131 |
116 |
$10K |
| 77066 |
Tomosynthesis, mammo |
274 |
271 |
$10K |
| 71271 |
|
107 |
107 |
$9K |
| 81025 |
|
14,114 |
13,428 |
$8K |
| 72040 |
|
382 |
370 |
$8K |
| 17110 |
|
39 |
38 |
$8K |
| 83690 |
|
20,968 |
19,036 |
$8K |
| 97165 |
|
286 |
277 |
$7K |
| J0585 |
Injection,onabotulinumtoxina |
25 |
24 |
$7K |
| 64615 |
|
24 |
24 |
$7K |
| 72131 |
|
240 |
233 |
$7K |
| 87636 |
|
386 |
379 |
$6K |
| 90651 |
|
403 |
402 |
$6K |
| 72110 |
|
213 |
208 |
$6K |
| 72072 |
|
299 |
288 |
$6K |
| 73590 |
|
1,125 |
1,087 |
$5K |
| 97112 |
|
218 |
147 |
$5K |
| 93880 |
|
119 |
115 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
13,279 |
10,269 |
$5K |
| 85018 |
|
1,616 |
1,425 |
$5K |
| 80305 |
|
6,364 |
5,872 |
$5K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,141 |
1,110 |
$5K |
| 90677 |
|
724 |
711 |
$5K |
| 87641 |
|
475 |
468 |
$5K |
| 85027 |
|
3,266 |
2,894 |
$5K |
| 81001 |
|
25,869 |
23,938 |
$5K |
| 62323 |
|
24 |
24 |
$5K |
| J1750 |
Inj iron dextran |
81 |
81 |
$5K |
| 83735 |
|
12,397 |
10,066 |
$4K |
| J2405 |
Ondansetron hcl injection |
20,110 |
16,704 |
$4K |
| 93296 |
|
334 |
328 |
$4K |
| 88305 |
|
6,061 |
5,835 |
$4K |
| 73090 |
|
878 |
853 |
$4K |
| 82803 |
|
4,659 |
4,308 |
$4K |
| 83655 |
|
240 |
237 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
18,813 |
16,326 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16,975 |
15,973 |
$4K |
| 97803 |
|
102 |
66 |
$4K |
| 85610 |
|
12,373 |
10,565 |
$4K |
| 88307 |
|
186 |
181 |
$4K |
| 84703 |
|
8,984 |
8,474 |
$4K |
| 97535 |
|
327 |
233 |
$3K |
| 58301 |
|
29 |
29 |
$3K |
| 83050 |
|
1,371 |
1,318 |
$3K |
| J1170 |
Hydromorphone injection |
8,216 |
6,232 |
$3K |
| 95812 |
|
12 |
12 |
$3K |
| 0124A |
|
137 |
133 |
$3K |
| 11982 |
|
12 |
12 |
$3K |
| 84443 |
|
7,544 |
7,138 |
$3K |
| 87086 |
|
8,926 |
8,438 |
$3K |
| 0054A |
|
106 |
105 |
$3K |
| 83036 |
|
3,133 |
3,068 |
$3K |
| C8930 |
Tte w or w/o contr, cont ecg |
413 |
405 |
$3K |
| 87486 |
|
261 |
257 |
$3K |
| 74019 |
|
124 |
122 |
$3K |
| 90460 |
|
92 |
89 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
7,168 |
5,883 |
$2K |
| 73721 |
|
13 |
13 |
$2K |
| 96368 |
|
1,917 |
1,411 |
$2K |
| 87798 |
|
338 |
333 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
6,558 |
5,314 |
$2K |
| 87581 |
|
300 |
296 |
$2K |
| 93246 |
|
40 |
40 |
$2K |
| 86850 |
|
2,826 |
2,646 |
$2K |
| 90685 |
|
111 |
110 |
$2K |
| 87081 |
|
3,819 |
3,738 |
$2K |
| 86140 |
|
2,838 |
2,472 |
$2K |
| 83060 |
|
1,289 |
1,240 |
$2K |
| 90656 |
|
240 |
240 |
$2K |
| 81002 |
|
4,592 |
4,321 |
$2K |
| 86900 |
|
2,948 |
2,763 |
$2K |
| 97035 |
|
249 |
151 |
$2K |
| 87491 |
|
2,037 |
1,975 |
$2K |
| 84702 |
|
2,388 |
2,173 |
$2K |
| 93242 |
|
41 |
41 |
$2K |
| J3010 |
Fentanyl citrate injection |
10,766 |
9,107 |
$1K |
| 77065 |
Tomosynthesis, mammo |
50 |
50 |
$1K |
| J2060 |
Lorazepam injection |
2,776 |
2,412 |
$1K |
| J0561 |
Penicillin g benzathine inj |
21 |
19 |
$1K |
| J3475 |
Inj magnesium sulfate |
4,126 |
2,318 |
$1K |
| 87430 |
|
3,858 |
3,780 |
$1K |
| J1756 |
Iron sucrose injection |
240 |
78 |
$1K |
| J1100 |
Dexamethasone sodium phos |
10,390 |
8,992 |
$1K |
| 72128 |
|
26 |
24 |
$1K |
| 81003 |
|
4,752 |
4,298 |
$1K |
| 87147 |
|
1,791 |
1,696 |
$1K |
| 71101 |
|
492 |
484 |
$1K |
| 93924 |
|
13 |
13 |
$1K |
| P9016 |
Rbc leukocytes reduced |
14 |
12 |
$1K |
| 73560 |
|
60 |
58 |
$1K |
| 87186 |
|
3,781 |
3,620 |
$1K |
| G0108 |
Diab manage trn per indiv |
67 |
37 |
$1K |
| 90461 |
|
77 |
74 |
$1K |
| 84439 |
|
1,626 |
1,558 |
$1K |
| 76000 |
|
201 |
194 |
$1K |
| 99496 |
|
68 |
40 |
$978.54 |
| J0515 |
Inj benztropine mesylate |
15 |
15 |
$956.07 |
| 84100 |
|
1,773 |
1,634 |
$947.58 |
| 87077 |
|
2,637 |
2,518 |
$926.85 |
| J2270 |
Morphine sulfate injection |
3,250 |
2,839 |
$898.31 |
| 86901 |
|
3,390 |
3,176 |
$873.63 |
| C8924 |
2d tte w or w/o fol w/con,fu |
24 |
24 |
$873.20 |
| J1630 |
Haloperidol injection |
2,228 |
1,971 |
$849.68 |
| 76882 |
|
13 |
12 |
$817.39 |
| 97116 |
|
92 |
63 |
$793.69 |
| 77080 |
|
13 |
13 |
$781.68 |
| J0690 |
Cefazolin sodium injection |
3,718 |
3,050 |
$751.15 |
| 94375 |
|
26 |
26 |
$728.31 |
| 87210 |
|
1,460 |
1,418 |
$710.10 |
| 99195 |
|
18 |
12 |
$690.04 |
| J1642 |
Inj heparin sodium per 10 u |
6,441 |
2,316 |
$661.05 |
| 93990 |
|
12 |
12 |
$637.72 |
| 85652 |
|
1,988 |
1,709 |
$621.06 |
| 85730 |
|
2,207 |
2,111 |
$610.66 |
| 99152 |
|
918 |
867 |
$608.65 |
| 0071A |
|
15 |
15 |
$600.00 |
| 90480 |
|
21 |
21 |
$598.50 |
| J0897 |
Denosumab injection |
17 |
12 |
$596.65 |
| 87070 |
|
1,210 |
1,149 |
$584.96 |
| 93922 |
|
14 |
14 |
$581.95 |
| 82550 |
|
1,346 |
1,249 |
$580.42 |
| 82728 |
|
98 |
85 |
$554.75 |
| 0072A |
|
13 |
13 |
$520.00 |
| Q9957 |
Inj perflutren lip micros,ml |
3,721 |
3,625 |
$516.33 |
| 87205 |
|
2,043 |
1,913 |
$507.38 |
| J2930 |
Methylprednisolone injection |
1,883 |
1,598 |
$488.27 |
| 0081A |
|
14 |
13 |
$480.00 |
| 87075 |
|
890 |
852 |
$479.88 |
| J0689 |
Inj cefazolin sodium, baxter |
1,051 |
1,005 |
$476.27 |
| 74022 |
|
116 |
116 |
$473.68 |
| 93270 |
|
12 |
12 |
$470.46 |
| J1644 |
Inj heparin sodium per 1000u |
4,428 |
2,617 |
$465.74 |
| 90688 |
|
68 |
68 |
$452.71 |
| J2765 |
Metoclopramide hcl injection |
2,315 |
2,169 |
$446.60 |
| 80061 |
|
123 |
120 |
$418.89 |
| J0780 |
Prochlorperazine injection |
2,326 |
2,155 |
$408.28 |
| 0051A |
|
12 |
12 |
$400.00 |
| J1650 |
Inj enoxaparin sodium |
2,829 |
1,236 |
$388.90 |
| 87420 |
|
20 |
18 |
$387.20 |
| 51702 |
|
49 |
39 |
$368.19 |
| 0052A |
|
12 |
12 |
$360.00 |
| 88304 |
|
461 |
457 |
$351.55 |
| 84112 |
|
27 |
24 |
$343.12 |
| 83550 |
|
68 |
63 |
$339.17 |
| J2250 |
Inj midazolam hydrochloride |
6,630 |
6,298 |
$337.79 |
| 90734 |
|
111 |
111 |
$331.91 |
| 88342 |
|
1,584 |
1,502 |
$324.17 |
| 74230 |
|
12 |
12 |
$323.42 |
| 97166 |
|
15 |
14 |
$313.86 |
| 87808 |
|
1,207 |
1,171 |
$313.13 |
| 73523 |
|
12 |
12 |
$289.96 |
| 87088 |
|
715 |
691 |
$283.61 |
| 84132 |
|
90 |
77 |
$269.66 |
| 83540 |
|
70 |
65 |
$263.43 |
| 99495 |
|
22 |
12 |
$260.08 |
| 82330 |
|
1,444 |
1,386 |
$246.42 |
| 72170 |
|
140 |
134 |
$232.31 |
| J2360 |
Orphenadrine injection |
1,278 |
1,203 |
$228.48 |
| 82140 |
|
732 |
689 |
$223.88 |
| J2785 |
Regadenoson injection |
263 |
256 |
$210.00 |
| 96380 |
|
12 |
12 |
$188.18 |
| A9270 |
Non-covered item or service |
8,748 |
5,916 |
$168.41 |
| 87880 |
|
1,318 |
1,287 |
$166.61 |
| 90707 |
|
49 |
49 |
$165.75 |
| 82247 |
|
30 |
24 |
$164.07 |
| 82565 |
|
38 |
36 |
$163.35 |
| 93282 |
|
13 |
13 |
$159.57 |
| A9500 |
Tc99m sestamibi |
415 |
368 |
$157.00 |
| J0330 |
Succinycholine chloride inj |
722 |
693 |
$155.35 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,713 |
1,662 |
$153.90 |
| 73660 |
|
28 |
28 |
$148.88 |
| L1830 |
Ko immob canvas long pre ots |
193 |
191 |
$145.57 |
| J2310 |
Inj naloxone hydrochloride |
24 |
16 |
$143.64 |
| 82010 |
|
677 |
618 |
$114.85 |
| 93280 |
|
26 |
24 |
$113.96 |
| J3360 |
Diazepam injection |
239 |
142 |
$109.53 |
| G0008 |
Admin influenza virus vac |
676 |
662 |
$107.54 |
| A4565 |
Slings |
650 |
639 |
$95.48 |
| J3370 |
Vancomycin hcl injection |
621 |
315 |
$86.59 |
| Q3014 |
Telehealth facility fee |
106 |
48 |
$74.49 |
| 85014 |
|
125 |
96 |
$72.19 |
| 87899 |
|
277 |
270 |
$68.60 |
| J3301 |
Triamcinolone acet inj nos |
843 |
813 |
$52.31 |
| 99153 |
Mod sedat endo service >5yrs |
363 |
347 |
$52.11 |
| P9612 |
Catheterize for urine spec |
541 |
505 |
$45.00 |
| 73552 |
|
39 |
38 |
$41.51 |
| 73060 |
|
26 |
26 |
$38.61 |
| Q0162 |
Ondansetron oral |
5,249 |
4,889 |
$35.77 |
| J1050 |
Medroxyprogesterone acetate |
1,938 |
1,923 |
$33.50 |
| A9585 |
Gadobutrol injection |
291 |
284 |
$32.00 |
| J1030 |
Methylprednisolone 40 mg inj |
693 |
650 |
$25.88 |
| A9552 |
F18 fdg |
614 |
602 |
$25.77 |
| 87807 |
|
84 |
81 |
$21.24 |
| 82375 |
|
1,404 |
1,350 |
$21.02 |
| J0171 |
Adrenalin epinephrine inject |
140 |
127 |
$19.00 |
| 76376 |
|
545 |
331 |
$16.63 |
| J1790 |
Droperidol injection |
768 |
697 |
$15.54 |
| 86703 |
|
113 |
112 |
$11.26 |
| 80076 |
|
89 |
83 |
$9.03 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,700 |
3,112 |
$8.60 |
| 84450 |
|
614 |
567 |
$6.93 |
| J2272 |
Inj, morphine (fresenius) |
1,436 |
1,223 |
$6.12 |
| Q4049 |
Finger splint, static |
29 |
29 |
$6.00 |
| 82810 |
|
1,111 |
1,064 |
$4.56 |
| 82570 |
|
14 |
12 |
$3.55 |
| 84460 |
|
613 |
567 |
$3.46 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,327 |
1,193 |
$3.19 |
| 86780 |
|
84 |
84 |
$1.50 |
| J2919 |
Inj, methylpred sod succ 5mg |
256 |
186 |
$0.94 |
| J0735 |
Clonidine hydrochloride |
154 |
150 |
$0.52 |
| 90723 |
|
1,454 |
1,432 |
$0.00 |
| J3420 |
Vitamin b12 injection |
337 |
281 |
$0.00 |
| 90680 |
|
2,028 |
1,991 |
$0.00 |
| C1769 |
Guide wire |
239 |
226 |
$0.00 |
| 90474 |
|
52 |
51 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
82 |
76 |
$0.00 |
| 99406 |
|
248 |
235 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
50 |
50 |
$0.00 |
| 88341 |
|
65 |
61 |
$0.00 |
| 0241U |
|
282 |
278 |
$0.00 |
| 90697 |
|
846 |
827 |
$0.00 |
| 96411 |
|
87 |
62 |
$0.00 |
| A9609 |
F18 fdg, 15 millicuries |
13 |
12 |
$0.00 |
| 90716 |
|
38 |
38 |
$0.00 |
| 90619 |
|
85 |
85 |
$0.00 |
| 90696 |
|
153 |
153 |
$0.00 |
| 45381 |
|
13 |
13 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
77 |
75 |
$0.00 |
| L4360 |
Pneumat walking boot pre cst |
89 |
89 |
$0.00 |
| 87340 |
|
45 |
39 |
$0.00 |
| J1940 |
Furosemide injection |
395 |
270 |
$0.00 |
| G8982 |
Body pos goal status |
13 |
13 |
$0.00 |
| G0283 |
Elec stim other than wound |
162 |
78 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
13 |
13 |
$0.00 |
| A4648 |
Implantable tissue marker |
14 |
13 |
$0.00 |
| 86803 |
|
15 |
12 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
29 |
24 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
35 |
27 |
$0.00 |
| 36430 |
|
14 |
12 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
13 |
13 |
$0.00 |
| G8987 |
Self care current status |
12 |
12 |
$0.00 |
| G8980 |
Mobility d/c status |
14 |
14 |
$0.00 |
| G8988 |
Self care goal status |
12 |
12 |
$0.00 |
| 77001 |
|
15 |
14 |
$0.00 |
| 90473 |
|
358 |
355 |
$0.00 |
| 90710 |
|
592 |
592 |
$0.00 |
| 90633 |
|
1,138 |
1,134 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
497 |
476 |
$0.00 |
| C1758 |
Catheter, ureteral |
64 |
63 |
$0.00 |
| 90662 |
|
101 |
95 |
$0.00 |
| 90700 |
|
263 |
263 |
$0.00 |
| G8978 |
Mobility current status |
290 |
284 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
246 |
245 |
$0.00 |
| G8979 |
Mobility goal status |
313 |
305 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
14 |
14 |
$0.00 |
| 90648 |
|
161 |
161 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
121 |
86 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
62 |
58 |
$0.00 |
| 96417 |
|
175 |
101 |
$0.00 |
| 87150 |
|
25 |
24 |
$0.00 |
| 77062 |
|
15 |
15 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
21 |
14 |
$0.00 |
| G8985 |
Carry goal status |
36 |
36 |
$0.00 |
| 85007 |
|
15 |
15 |
$0.00 |
| 51701 |
|
12 |
12 |
$0.00 |