| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
49,680 |
46,360 |
$6.21M |
| 99284 |
|
32,018 |
29,167 |
$6.18M |
| G0463 |
Hospital outpt clinic visit |
84,905 |
73,058 |
$4.74M |
| 99285 |
|
9,607 |
9,008 |
$2.76M |
| 96374 |
|
23,569 |
21,346 |
$1.85M |
| G0378 |
Hospital observation per hr |
5,261 |
3,906 |
$1.74M |
| 99282 |
|
16,539 |
16,063 |
$1.38M |
| 74177 |
|
6,897 |
6,757 |
$930K |
| U0003 |
Cov-19 amp prb hgh thruput |
15,480 |
14,703 |
$811K |
| 99291 |
|
1,870 |
1,793 |
$695K |
| 96365 |
|
7,080 |
4,566 |
$616K |
| 96361 |
|
22,245 |
18,614 |
$592K |
| 97110 |
|
18,278 |
5,387 |
$534K |
| 43239 |
|
1,398 |
1,393 |
$510K |
| 96375 |
|
19,014 |
16,210 |
$483K |
| 87637 |
|
7,051 |
6,914 |
$461K |
| 71045 |
|
13,394 |
12,647 |
$424K |
| 96360 |
|
5,017 |
4,641 |
$421K |
| 96413 |
|
2,278 |
1,417 |
$391K |
| 70450 |
|
5,991 |
5,814 |
$384K |
| 71046 |
|
10,410 |
10,098 |
$341K |
| 45380 |
|
574 |
572 |
$309K |
| 59025 |
|
3,889 |
2,077 |
$305K |
| 93306 |
|
1,321 |
1,316 |
$299K |
| 20610 |
|
2,175 |
2,109 |
$282K |
| 87491 |
|
18,894 |
18,374 |
$281K |
| 87591 |
|
18,895 |
18,375 |
$281K |
| 84443 |
|
35,872 |
35,101 |
$252K |
| 80061 |
|
27,612 |
27,461 |
$248K |
| 80053 |
|
86,659 |
77,862 |
$246K |
| 77067 |
|
4,871 |
4,852 |
$238K |
| 86900 |
|
7,689 |
7,193 |
$238K |
| 76856 |
|
4,615 |
4,561 |
$236K |
| 87661 |
|
18,042 |
17,594 |
$233K |
| 99281 |
|
3,911 |
3,862 |
$230K |
| 74176 |
|
2,452 |
2,418 |
$227K |
| 76801 |
|
4,276 |
3,973 |
$223K |
| 76830 |
|
4,032 |
3,985 |
$218K |
| 76705 |
|
3,902 |
3,854 |
$212K |
| 36415 |
|
142,090 |
119,122 |
$202K |
| 11042 |
|
1,141 |
725 |
$195K |
| 93975 |
|
1,859 |
1,834 |
$194K |
| 95810 |
|
403 |
403 |
$189K |
| 71275 |
|
2,078 |
2,039 |
$188K |
| 72148 |
|
1,421 |
1,417 |
$160K |
| 78452 |
|
460 |
458 |
$159K |
| 85025 |
|
97,511 |
83,738 |
$157K |
| C9803 |
Hopd covid-19 spec collect |
13,641 |
12,988 |
$151K |
| 82306 |
|
9,900 |
9,828 |
$139K |
| 73721 |
|
1,031 |
1,027 |
$138K |
| 94060 |
|
902 |
893 |
$128K |
| 87389 |
|
12,355 |
12,286 |
$122K |
| 70553 |
|
563 |
562 |
$115K |
| 72100 |
|
3,269 |
3,247 |
$104K |
| 87507 |
|
511 |
508 |
$94K |
| Q3014 |
Telehealth facility fee |
5,558 |
5,207 |
$92K |
| 97140 |
|
5,922 |
2,098 |
$92K |
| 83036 |
|
19,910 |
19,780 |
$91K |
| 76805 |
|
1,659 |
1,654 |
$87K |
| 96372 |
|
18,721 |
16,263 |
$87K |
| 97161 |
|
1,793 |
1,771 |
$87K |
| 96366 |
|
2,939 |
1,902 |
$86K |
| 93971 |
|
1,696 |
1,658 |
$86K |
| 76816 |
|
2,032 |
1,950 |
$85K |
| 76700 |
|
1,186 |
1,181 |
$85K |
| 76770 |
|
1,488 |
1,476 |
$80K |
| 70551 |
|
681 |
679 |
$77K |
| 76642 |
|
1,822 |
1,803 |
$72K |
| 76536 |
|
1,354 |
1,348 |
$72K |
| 86780 |
|
9,240 |
9,178 |
$69K |
| 73630 |
|
4,923 |
4,692 |
$69K |
| 71250 |
|
1,028 |
1,025 |
$64K |
| 90471 |
|
6,380 |
6,291 |
$63K |
| 93017 |
|
1,369 |
1,360 |
$63K |
| 73610 |
|
4,256 |
3,937 |
$61K |
| 73562 |
|
3,638 |
3,553 |
$61K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
4,079 |
4,048 |
$60K |
| 87635 |
|
2,918 |
2,856 |
$59K |
| 73030 |
|
4,083 |
3,878 |
$59K |
| 73110 |
|
3,447 |
3,090 |
$57K |
| 73130 |
|
4,380 |
4,064 |
$54K |
| 87624 |
|
2,949 |
2,937 |
$50K |
| 77066 |
Tomosynthesis, mammo |
809 |
800 |
$47K |
| 97162 |
|
1,027 |
1,018 |
$46K |
| 80074 |
|
2,124 |
2,110 |
$46K |
| 86803 |
|
7,715 |
7,659 |
$46K |
| 83013 |
|
1,304 |
1,300 |
$45K |
| 74018 |
|
3,213 |
3,045 |
$45K |
| 97535 |
|
2,092 |
1,219 |
$44K |
| 82728 |
|
7,018 |
6,888 |
$44K |
| 93005 |
|
20,700 |
18,263 |
$44K |
| 10060 |
|
544 |
532 |
$43K |
| 87631 |
|
1,698 |
1,681 |
$41K |
| 86003 |
|
835 |
799 |
$40K |
| 82607 |
|
5,685 |
5,633 |
$38K |
| 71260 |
|
1,346 |
1,335 |
$38K |
| 76815 |
|
1,357 |
1,169 |
$37K |
| 80307 |
|
12,085 |
10,469 |
$37K |
| 85027 |
|
14,098 |
13,645 |
$37K |
| 95811 |
|
80 |
80 |
$37K |
| 90677 |
|
288 |
288 |
$36K |
| 96367 |
|
1,095 |
785 |
$35K |
| 87086 |
|
17,106 |
16,250 |
$34K |
| 87633 |
|
473 |
471 |
$33K |
| 77063 |
|
2,494 |
2,493 |
$32K |
| 97597 |
|
333 |
240 |
$32K |
| 93970 |
|
287 |
284 |
$31K |
| 76819 |
|
568 |
423 |
$31K |
| 84439 |
|
7,008 |
6,900 |
$31K |
| 94726 |
|
936 |
925 |
$30K |
| 76882 |
|
653 |
649 |
$30K |
| 80048 |
|
22,671 |
20,154 |
$30K |
| 72141 |
|
233 |
230 |
$29K |
| 84466 |
|
5,324 |
5,220 |
$29K |
| G0451 |
Devlopment test interpt&rep |
1,198 |
1,188 |
$29K |
| 73502 |
|
2,293 |
2,220 |
$29K |
| 84702 |
|
6,907 |
5,189 |
$29K |
| 73560 |
|
1,837 |
1,756 |
$28K |
| 87340 |
|
7,576 |
7,512 |
$25K |
| 87522 |
Neg quan hep c or qual rna |
1,073 |
1,035 |
$23K |
| 73140 |
|
1,838 |
1,710 |
$23K |
| 87150 |
|
1,730 |
1,671 |
$22K |
| 70486 |
|
782 |
778 |
$22K |
| 95910 |
|
144 |
142 |
$21K |
| 83540 |
|
6,816 |
6,685 |
$20K |
| 83970 |
|
979 |
965 |
$19K |
| 83880 |
|
3,135 |
2,896 |
$19K |
| 72125 |
|
2,126 |
2,074 |
$17K |
| G0103 |
Psa screening |
1,557 |
1,555 |
$17K |
| C8929 |
Tte w or wo fol wcon,doppler |
54 |
54 |
$17K |
| 82570 |
|
7,110 |
6,888 |
$16K |
| 87426 |
|
794 |
781 |
$16K |
| 73564 |
|
1,147 |
1,140 |
$16K |
| 82043 |
|
5,293 |
5,266 |
$16K |
| 90472 |
|
903 |
902 |
$15K |
| 87502 |
|
453 |
450 |
$15K |
| 86696 |
|
1,387 |
1,377 |
$14K |
| 86038 |
|
2,843 |
2,770 |
$14K |
| 97112 |
|
591 |
239 |
$13K |
| 64400 |
|
122 |
112 |
$13K |
| 86665 |
|
1,467 |
740 |
$13K |
| 81001 |
|
38,042 |
34,930 |
$13K |
| 83735 |
|
10,526 |
9,137 |
$13K |
| 86140 |
|
8,164 |
7,368 |
$13K |
| L4350 |
Ankle control ortho pre ots |
349 |
348 |
$13K |
| 91320 |
|
104 |
104 |
$13K |
| 83001 |
|
1,442 |
1,433 |
$12K |
| 84403 |
|
995 |
984 |
$12K |
| 87081 |
|
3,297 |
3,261 |
$12K |
| 90686 |
|
876 |
872 |
$12K |
| 82746 |
|
1,958 |
1,928 |
$12K |
| 82670 |
|
941 |
930 |
$12K |
| 76870 |
|
555 |
549 |
$12K |
| 87077 |
|
5,579 |
5,394 |
$12K |
| 84481 |
|
1,475 |
1,447 |
$12K |
| 90688 |
|
656 |
656 |
$11K |
| 87186 |
|
4,942 |
4,781 |
$11K |
| 70491 |
|
107 |
105 |
$11K |
| 92557 |
|
270 |
270 |
$11K |
| 84146 |
|
1,185 |
1,173 |
$11K |
| 85610 |
|
10,170 |
8,116 |
$11K |
| 93225 |
|
458 |
452 |
$11K |
| 99406 |
|
674 |
657 |
$10K |
| 71271 |
|
193 |
193 |
$10K |
| 72040 |
|
599 |
595 |
$10K |
| 82950 |
|
3,950 |
3,936 |
$10K |
| G0279 |
Tomosynthesis, mammo |
836 |
836 |
$10K |
| 73590 |
|
830 |
759 |
$10K |
| 86695 |
|
1,387 |
1,377 |
$9K |
| 88305 |
|
7,459 |
5,094 |
$9K |
| 83516 |
|
1,577 |
1,082 |
$9K |
| 86376 |
|
1,366 |
1,354 |
$9K |
| 73221 |
|
67 |
67 |
$9K |
| 87220 |
|
7,143 |
6,950 |
$9K |
| 93226 |
|
279 |
279 |
$9K |
| 76817 |
|
2,241 |
1,999 |
$8K |
| 73080 |
|
809 |
732 |
$8K |
| 74183 |
|
37 |
37 |
$8K |
| 90682 |
|
128 |
127 |
$8K |
| 87880 |
|
1,465 |
1,451 |
$8K |
| G0480 |
Drug test def 1-7 classes |
4,697 |
4,276 |
$7K |
| 87798 |
|
638 |
636 |
$7K |
| 0002A |
|
218 |
217 |
$7K |
| 90673 |
|
116 |
116 |
$7K |
| 83002 |
|
840 |
832 |
$7K |
| 80076 |
|
2,574 |
2,413 |
$7K |
| 77065 |
Tomosynthesis, mammo |
172 |
161 |
$7K |
| 85652 |
|
6,975 |
6,358 |
$6K |
| 71101 |
|
408 |
404 |
$6K |
| 0001A |
|
242 |
241 |
$6K |
| 70498 |
|
39 |
39 |
$6K |
| 0241U |
|
558 |
547 |
$6K |
| 73090 |
|
854 |
773 |
$6K |
| 93922 |
|
260 |
256 |
$6K |
| G0121 |
Colon ca scrn not hi rsk ind |
13 |
13 |
$6K |
| 86664 |
|
707 |
702 |
$6K |
| 83690 |
|
15,186 |
13,820 |
$6K |
| 83014 |
|
1,301 |
1,297 |
$5K |
| 82785 |
|
700 |
694 |
$5K |
| 94640 |
|
6,829 |
5,999 |
$5K |
| 84153 |
|
605 |
597 |
$5K |
| 86235 |
|
183 |
176 |
$5K |
| 86663 |
|
743 |
738 |
$5K |
| 86039 |
|
1,140 |
1,114 |
$5K |
| 97530 |
|
288 |
188 |
$5K |
| 52000 |
|
27 |
27 |
$5K |
| 90480 |
|
126 |
126 |
$5K |
| 74022 |
|
729 |
717 |
$5K |
| 90460 |
|
377 |
245 |
$5K |
| S4005 |
Interim labor facility globa |
44 |
36 |
$5K |
| 87205 |
|
2,966 |
2,884 |
$4K |
| 84100 |
|
2,874 |
2,378 |
$4K |
| 45378 |
|
12 |
12 |
$4K |
| 86431 |
|
1,744 |
1,713 |
$4K |
| 81025 |
|
14,984 |
14,200 |
$4K |
| 85730 |
|
4,421 |
4,167 |
$4K |
| 80164 |
|
664 |
637 |
$3K |
| 80069 |
|
748 |
650 |
$3K |
| 82248 |
|
1,275 |
975 |
$3K |
| 83615 |
|
2,192 |
1,947 |
$3K |
| 73070 |
|
289 |
270 |
$3K |
| 82565 |
|
1,409 |
1,282 |
$3K |
| 87581 |
|
473 |
472 |
$3K |
| 87486 |
|
473 |
472 |
$3K |
| 84112 |
|
697 |
612 |
$3K |
| 74019 |
|
279 |
275 |
$3K |
| 87070 |
|
1,507 |
1,447 |
$3K |
| 85018 |
|
2,612 |
2,500 |
$3K |
| 87536 |
|
67 |
65 |
$3K |
| 36591 |
|
67 |
52 |
$3K |
| 95800 |
|
35 |
35 |
$3K |
| 86850 |
|
7,170 |
6,758 |
$3K |
| 0004A |
|
91 |
91 |
$3K |
| 0124A |
|
111 |
108 |
$2K |
| 86200 |
|
796 |
766 |
$2K |
| 84550 |
|
1,627 |
1,567 |
$2K |
| 84156 |
|
2,268 |
1,992 |
$2K |
| 88175 |
|
228 |
226 |
$2K |
| 81003 |
|
8,586 |
8,236 |
$2K |
| 83721 |
|
447 |
445 |
$2K |
| Q9969 |
Non-heu tc-99m add-on/dose |
426 |
426 |
$2K |
| 95908 |
|
14 |
14 |
$2K |
| 72070 |
|
149 |
148 |
$2K |
| 86762 |
|
408 |
406 |
$2K |
| 96523 |
|
101 |
85 |
$2K |
| 84703 |
|
2,885 |
2,801 |
$2K |
| 74174 |
|
16 |
15 |
$2K |
| 96127 |
|
483 |
482 |
$2K |
| 82150 |
|
707 |
686 |
$2K |
| J2469 |
Palonosetron hcl |
116 |
73 |
$2K |
| 97116 |
|
201 |
80 |
$2K |
| 82550 |
|
1,877 |
1,648 |
$2K |
| 86706 |
|
405 |
397 |
$2K |
| 72158 |
|
12 |
12 |
$2K |
| 73522 |
|
25 |
25 |
$2K |
| 82627 |
|
180 |
180 |
$2K |
| 93880 |
|
12 |
12 |
$2K |
| 82784 |
|
252 |
242 |
$2K |
| 73660 |
|
155 |
146 |
$2K |
| 0054A |
|
54 |
54 |
$2K |
| 86225 |
|
331 |
312 |
$1K |
| 85046 |
|
779 |
721 |
$1K |
| G8978 |
Mobility current status |
80 |
75 |
$1K |
| 90656 |
|
108 |
108 |
$1K |
| 90732 |
|
15 |
15 |
$1K |
| 88304 |
|
1,379 |
1,283 |
$1K |
| 90670 |
|
40 |
40 |
$1K |
| 82951 |
|
160 |
158 |
$1K |
| 87641 |
|
324 |
323 |
$1K |
| 82140 |
|
282 |
230 |
$1K |
| 90674 |
|
29 |
29 |
$983.13 |
| 85380 |
|
2,522 |
2,482 |
$921.23 |
| 51798 |
|
795 |
768 |
$921.01 |
| 80178 |
|
311 |
284 |
$904.99 |
| 73521 |
|
41 |
40 |
$888.52 |
| 84145 |
|
1,796 |
1,680 |
$877.31 |
| 97165 |
|
36 |
36 |
$855.48 |
| 82247 |
|
325 |
199 |
$848.37 |
| 87040 |
|
3,462 |
1,928 |
$835.92 |
| 94010 |
|
713 |
707 |
$833.37 |
| 87640 |
|
146 |
146 |
$812.68 |
| 76881 |
|
12 |
12 |
$804.00 |
| 87651 |
|
3,133 |
3,110 |
$788.58 |
| 72050 |
|
21 |
21 |
$755.86 |
| 82731 |
|
162 |
156 |
$677.18 |
| 86618 |
|
121 |
119 |
$676.05 |
| 72110 |
|
14 |
13 |
$581.96 |
| 88342 |
|
207 |
201 |
$553.17 |
| 86160 |
|
56 |
55 |
$529.45 |
| 70496 |
|
53 |
53 |
$519.30 |
| 12001 |
|
1,098 |
1,093 |
$486.49 |
| 82977 |
|
144 |
132 |
$485.60 |
| 96161 |
|
161 |
147 |
$476.38 |
| 72170 |
|
26 |
26 |
$470.20 |
| 84144 |
|
53 |
48 |
$439.15 |
| 12011 |
|
329 |
327 |
$432.00 |
| 97035 |
|
66 |
26 |
$410.62 |
| 90651 |
|
29 |
29 |
$388.93 |
| 82274 |
|
43 |
43 |
$382.60 |
| 88307 |
|
234 |
198 |
$368.86 |
| 82465 |
|
137 |
137 |
$366.11 |
| 83020 |
|
57 |
55 |
$358.34 |
| 0012A |
|
12 |
12 |
$354.12 |
| 0072A |
|
12 |
12 |
$340.65 |
| 83605 |
|
6,679 |
5,605 |
$335.66 |
| 84484 |
|
13,776 |
7,902 |
$332.06 |
| 83718 |
|
62 |
62 |
$317.31 |
| 82533 |
|
51 |
50 |
$313.73 |
| 82952 |
|
146 |
144 |
$306.11 |
| 0071A |
|
12 |
12 |
$264.95 |
| 0064U |
|
688 |
679 |
$229.10 |
| 0011A |
|
14 |
14 |
$225.70 |
| 82330 |
|
63 |
54 |
$224.54 |
| 83525 |
|
40 |
40 |
$201.29 |
| 86480 |
|
14 |
14 |
$199.37 |
| 86308 |
|
152 |
151 |
$180.92 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13,921 |
12,105 |
$176.60 |
| 90662 |
|
15 |
15 |
$176.23 |
| G0008 |
Admin influenza virus vac |
78 |
77 |
$153.34 |
| 84460 |
|
52 |
51 |
$150.57 |
| 90474 |
|
12 |
12 |
$149.44 |
| L1830 |
Ko immob canvas long pre ots |
141 |
140 |
$135.98 |
| 82010 |
|
889 |
789 |
$135.49 |
| 82947 |
|
52 |
52 |
$125.96 |
| 72131 |
|
12 |
12 |
$119.28 |
| 84450 |
|
41 |
40 |
$110.78 |
| 12002 |
|
399 |
396 |
$109.56 |
| 92567 |
|
419 |
418 |
$103.29 |
| 85014 |
|
79 |
79 |
$101.04 |
| 82575 |
|
17 |
16 |
$90.08 |
| 80143 |
|
2,461 |
2,267 |
$87.14 |
| 87088 |
|
28 |
27 |
$76.63 |
| L3908 |
Who cock-up nonmolde pre ots |
177 |
174 |
$68.90 |
| 29125 |
|
151 |
149 |
$67.37 |
| 81002 |
|
51 |
49 |
$65.40 |
| 94729 |
|
956 |
945 |
$61.80 |
| J1885 |
Ketorolac tromethamine inj |
23,664 |
17,514 |
$59.17 |
| 84165 |
|
24 |
24 |
$58.88 |
| 86787 |
|
12 |
12 |
$57.88 |
| 84480 |
|
12 |
12 |
$55.17 |
| 73060 |
|
12 |
12 |
$48.48 |
| 80179 |
|
2,391 |
2,224 |
$43.47 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
417 |
316 |
$38.22 |
| 73565 |
|
12 |
12 |
$37.88 |
| J7030 |
Normal saline solution infus |
24,672 |
20,678 |
$35.22 |
| 86901 |
|
7,791 |
7,278 |
$32.90 |
| 87075 |
|
12 |
12 |
$25.00 |
| 88300 |
|
92 |
88 |
$19.50 |
| 81015 |
|
566 |
525 |
$16.39 |
| J2405 |
Ondansetron hcl injection |
18,941 |
16,423 |
$14.90 |
| 82800 |
|
811 |
725 |
$11.37 |
| J7120 |
Ringers lactate infusion |
14,391 |
12,725 |
$8.63 |
| 84132 |
|
12 |
12 |
$8.62 |
| J2270 |
Morphine sulfate injection |
5,080 |
4,181 |
$6.54 |
| J2765 |
Metoclopramide hcl injection |
3,418 |
3,187 |
$5.70 |
| J1200 |
Diphenhydramine hcl injectio |
6,290 |
5,556 |
$5.54 |
| J3010 |
Fentanyl citrate injection |
10,844 |
8,543 |
$5.30 |
| J2370 |
Phenylephrine hcl injection |
614 |
599 |
$3.82 |
| J0690 |
Cefazolin sodium injection |
4,422 |
3,924 |
$3.08 |
| J1170 |
Hydromorphone injection |
3,074 |
2,452 |
$2.67 |
| J2704 |
Inj, propofol, 10 mg |
15,620 |
9,562 |
$2.20 |
| J1100 |
Dexamethasone sodium phos |
12,574 |
7,619 |
$1.68 |
| J1920 |
Inj, labetalol hcl, 5mg |
17 |
12 |
$1.64 |
| J7040 |
Normal saline solution infus |
10,751 |
5,418 |
$0.48 |
| J1630 |
Haloperidol injection |
2,539 |
2,181 |
$0.24 |
| J2470 |
Inj pantoprazole sodium 40mg |
18 |
14 |
$0.00 |
| J3490 |
Drugs unclassified injection |
570 |
547 |
$0.00 |
| J2060 |
Lorazepam injection |
2,622 |
2,259 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
797 |
788 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
4,731 |
3,742 |
$0.00 |
| J2360 |
Orphenadrine injection |
373 |
361 |
$0.00 |
| 95886 |
|
1,045 |
1,041 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
6,666 |
5,233 |
$0.00 |
| 96376 |
|
4,888 |
3,624 |
$0.00 |
| 94760 |
|
1,530 |
1,103 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
4,481 |
1,971 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
2,214 |
2,186 |
$0.00 |
| 36416 |
|
339 |
287 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,306 |
2,291 |
$0.00 |
| J0500 |
Dicyclomine injection |
222 |
214 |
$0.00 |
| A9500 |
Tc99m sestamibi |
415 |
414 |
$0.00 |
| J3480 |
Inj potassium chloride |
316 |
244 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
5,855 |
3,246 |
$0.00 |
| 64488 |
|
395 |
393 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
116 |
91 |
$0.00 |
| J7050 |
Normal saline solution infus |
3,515 |
2,273 |
$0.00 |
| J2785 |
Regadenoson injection |
332 |
330 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
47 |
36 |
$0.00 |
| 90680 |
|
26 |
26 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
343 |
263 |
$0.00 |
| 90697 |
|
68 |
68 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
257 |
247 |
$0.00 |
| J1790 |
Droperidol injection |
17 |
17 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
15 |
15 |
$0.00 |
| J3420 |
Vitamin b12 injection |
16 |
12 |
$0.00 |
| 73552 |
|
12 |
12 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
82 |
78 |
$0.00 |
| A9270 |
Non-covered item or service |
27 |
25 |
$0.00 |
| 64415 |
|
12 |
12 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
1,020 |
937 |
$0.00 |
| 90715 |
|
3,107 |
3,092 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
1,130 |
1,120 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
1,367 |
706 |
$0.00 |
| 76942 |
|
208 |
205 |
$0.00 |
| A9577 |
Inj multihance |
3,433 |
2,254 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
449 |
380 |
$0.00 |
| J2930 |
Methylprednisolone injection |
1,607 |
1,469 |
$0.00 |
| 64999 |
|
145 |
143 |
$0.00 |
| J0780 |
Prochlorperazine injection |
977 |
871 |
$0.00 |
| J2550 |
Promethazine hcl injection |
2,172 |
1,841 |
$0.00 |
| 0202U |
|
64 |
63 |
$0.00 |
| J1240 |
Dimenhydrinate injection |
169 |
168 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
120 |
94 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
323 |
316 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
63 |
61 |
$0.00 |
| J1756 |
Iron sucrose injection |
376 |
179 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
112 |
110 |
$0.00 |
| 90461 |
|
31 |
31 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
81 |
81 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
268 |
154 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
213 |
192 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
269 |
204 |
$0.00 |
| 94664 |
|
13 |
13 |
$0.00 |
| G8979 |
Mobility goal status |
106 |
99 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
210 |
107 |
$0.00 |
| 87804 |
|
22 |
14 |
$0.00 |
| 80305 |
|
92 |
80 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
14 |
14 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
13 |
12 |
$0.00 |
| A9552 |
F18 fdg |
12 |
12 |
$0.00 |