| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149,645 |
143,304 |
$9.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
113,478 |
109,321 |
$3.85M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
50,549 |
23,549 |
$1.78M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
11,641 |
11,608 |
$1.50M |
| 59425 |
|
15,579 |
11,601 |
$1.44M |
| 99233 |
Prolong inpt eval add15 m |
27,271 |
11,192 |
$1.38M |
| 99223 |
Prolong inpt eval add15 m |
10,676 |
10,584 |
$1.03M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,063 |
8,056 |
$697K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
18,742 |
5,957 |
$650K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
10,859 |
10,773 |
$609K |
| 99215 |
Prolong outpt/office vis |
5,488 |
4,659 |
$566K |
| 99222 |
Initial hospital care, per day, moderate complexity |
6,960 |
6,905 |
$519K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14,840 |
14,763 |
$513K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,085 |
4,603 |
$413K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
7,915 |
7,731 |
$374K |
| 99243 |
|
3,164 |
3,161 |
$359K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
15,795 |
5,218 |
$342K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,911 |
1,498 |
$330K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
54,425 |
45,632 |
$308K |
| 76830 |
Ultrasound, transvaginal |
2,724 |
2,710 |
$253K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,080 |
3,065 |
$236K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
2,285 |
2,281 |
$231K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
33,028 |
32,654 |
$219K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,086 |
5,048 |
$199K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,897 |
2,640 |
$180K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
5,897 |
5,889 |
$180K |
| 11765 |
|
2,302 |
1,943 |
$179K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,082 |
1,320 |
$178K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
2,119 |
1,424 |
$173K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,825 |
1,042 |
$172K |
| 95811 |
|
1,703 |
1,696 |
$163K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,652 |
1,645 |
$153K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,832 |
5,497 |
$149K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
4,774 |
4,642 |
$145K |
| 84443 |
Thyroid stimulating hormone (TSH) |
10,376 |
10,254 |
$144K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
796 |
794 |
$140K |
| 71046 |
Radiologic examination, chest; 2 views |
8,652 |
8,551 |
$136K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
5,589 |
5,588 |
$134K |
| 64405 |
|
3,531 |
2,253 |
$132K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
898 |
627 |
$119K |
| 80061 |
Lipid panel |
10,901 |
10,793 |
$116K |
| 64615 |
|
1,409 |
1,403 |
$114K |
| 72141 |
|
1,489 |
946 |
$114K |
| 0001A |
|
2,852 |
2,851 |
$110K |
| 0002A |
|
2,722 |
2,722 |
$108K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16,477 |
16,157 |
$103K |
| G9012 |
Other specified case management service not elsewhere classified |
3,607 |
1,619 |
$100K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
2,978 |
2,975 |
$98K |
| 80053 |
Comprehensive metabolic panel |
11,146 |
10,971 |
$97K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,143 |
4,127 |
$96K |
| 73221 |
|
1,029 |
605 |
$96K |
| 76642 |
|
3,432 |
2,934 |
$96K |
| 76801 |
|
1,293 |
1,185 |
$95K |
| 74178 |
|
606 |
389 |
$94K |
| 71045 |
Radiologic examination, chest; single view |
17,516 |
14,615 |
$94K |
| 11056 |
|
3,663 |
3,647 |
$89K |
| 64450 |
|
3,533 |
2,255 |
$83K |
| 11721 |
|
4,358 |
4,344 |
$76K |
| 76536 |
|
894 |
886 |
$75K |
| 90837 |
Psychotherapy, 53 minutes with patient |
790 |
511 |
$73K |
| 76770 |
|
1,147 |
1,144 |
$72K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
408 |
406 |
$72K |
| 95251 |
|
2,714 |
2,708 |
$67K |
| 93000 |
|
6,335 |
6,220 |
$64K |
| 73562 |
|
2,411 |
2,003 |
$64K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,477 |
1,238 |
$60K |
| 52000 |
|
394 |
391 |
$60K |
| 20610 |
|
2,777 |
2,120 |
$59K |
| 99242 |
|
730 |
710 |
$59K |
| 77066 |
Tomosynthesis, mammo |
1,503 |
1,496 |
$57K |
| 51700 |
|
1,618 |
1,057 |
$57K |
| G0109 |
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
1,412 |
796 |
$56K |
| 77049 |
|
326 |
181 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,416 |
3,291 |
$54K |
| 73630 |
|
2,516 |
2,056 |
$51K |
| 84439 |
|
6,506 |
6,441 |
$51K |
| 17110 |
|
509 |
501 |
$48K |
| 72110 |
|
985 |
983 |
$47K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
587 |
573 |
$47K |
| 11750 |
|
358 |
333 |
$47K |
| 72197 |
|
272 |
172 |
$43K |
| 82962 |
|
30,151 |
29,656 |
$42K |
| 90686 |
|
2,432 |
2,429 |
$41K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
310 |
310 |
$40K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
2,916 |
1,493 |
$39K |
| 93298 |
|
1,551 |
1,549 |
$37K |
| 73610 |
|
1,658 |
1,520 |
$37K |
| 99255 |
|
201 |
200 |
$35K |
| 71250 |
|
943 |
802 |
$34K |
| 97799 |
|
1,019 |
215 |
$32K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,648 |
773 |
$31K |
| 20552 |
|
1,137 |
1,130 |
$31K |
| 76870 |
|
474 |
470 |
$30K |
| 77065 |
Tomosynthesis, mammo |
1,013 |
993 |
$29K |
| 99426 |
|
549 |
549 |
$29K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
653 |
605 |
$28K |
| 73030 |
|
1,348 |
1,226 |
$27K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,990 |
3,912 |
$26K |
| 91320 |
|
199 |
199 |
$24K |
| 77062 |
|
1,014 |
1,013 |
$23K |
| 93296 |
|
2,861 |
2,860 |
$23K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
568 |
492 |
$23K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
345 |
344 |
$22K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
409 |
399 |
$22K |
| 0054A |
|
540 |
540 |
$21K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
568 |
453 |
$21K |
| 73564 |
|
906 |
710 |
$20K |
| 95816 |
|
413 |
405 |
$20K |
| 0004A |
|
490 |
490 |
$20K |
| 73130 |
|
939 |
756 |
$19K |
| 72100 |
|
838 |
833 |
$19K |
| 73110 |
|
774 |
692 |
$18K |
| 74018 |
|
1,886 |
1,659 |
$18K |
| 76882 |
|
433 |
331 |
$17K |
| 70496 |
|
314 |
299 |
$17K |
| 93970 |
|
487 |
485 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
538 |
534 |
$16K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
73 |
37 |
$16K |
| 70491 |
|
219 |
179 |
$15K |
| 73560 |
|
644 |
471 |
$15K |
| 92228 |
|
473 |
473 |
$15K |
| 82043 |
|
2,893 |
2,865 |
$14K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
464 |
447 |
$14K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,244 |
1,233 |
$14K |
| 93018 |
|
1,704 |
1,697 |
$14K |
| 72050 |
|
299 |
299 |
$14K |
| 82951 |
|
1,309 |
1,285 |
$14K |
| 93971 |
|
776 |
759 |
$14K |
| 82570 |
|
2,951 |
2,916 |
$13K |
| 98926 |
|
337 |
323 |
$13K |
| 0012A |
|
318 |
318 |
$13K |
| 93294 |
|
1,386 |
1,385 |
$13K |
| 73502 |
|
558 |
541 |
$12K |
| 0124A |
|
303 |
303 |
$12K |
| 73100 |
|
384 |
325 |
$12K |
| 20550 |
|
318 |
270 |
$12K |
| 90480 |
|
301 |
300 |
$12K |
| 99497 |
|
273 |
267 |
$12K |
| 77061 |
|
507 |
502 |
$11K |
| 0011A |
|
334 |
334 |
$11K |
| 72040 |
|
488 |
488 |
$11K |
| 99245 |
|
108 |
108 |
$11K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,677 |
2,601 |
$11K |
| 83970 |
|
406 |
401 |
$10K |
| 0071A |
|
248 |
248 |
$10K |
| 70498 |
|
229 |
221 |
$10K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
666 |
666 |
$10K |
| G9920 |
Screening performed and negative |
226 |
226 |
$10K |
| 97802 |
|
80 |
80 |
$10K |
| 0072A |
|
235 |
235 |
$9K |
| 99460 |
|
129 |
128 |
$9K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
878 |
873 |
$8K |
| 51798 |
|
1,249 |
1,231 |
$8K |
| 99254 |
|
51 |
51 |
$8K |
| Z1034 |
|
142 |
98 |
$7K |
| 73140 |
|
385 |
363 |
$7K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
271 |
132 |
$7K |
| 99152 |
|
671 |
644 |
$7K |
| 11900 |
|
134 |
133 |
$7K |
| 99205 |
Prolong outpt/office vis |
121 |
121 |
$6K |
| 73080 |
|
421 |
399 |
$6K |
| 76881 |
|
101 |
83 |
$5K |
| 90670 |
|
362 |
362 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
8,171 |
7,834 |
$5K |
| 73590 |
|
415 |
389 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
224 |
224 |
$5K |
| 0003A |
|
126 |
126 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,541 |
1,512 |
$5K |
| 57288 |
|
18 |
13 |
$5K |
| 82728 |
|
443 |
437 |
$5K |
| 80076 |
|
798 |
781 |
$5K |
| 81025 |
|
1,653 |
1,634 |
$5K |
| 72072 |
|
137 |
137 |
$5K |
| 94060 |
|
252 |
252 |
$5K |
| 81001 |
|
1,716 |
1,680 |
$4K |
| 76813 |
|
33 |
33 |
$4K |
| 92250 |
|
102 |
102 |
$4K |
| 72131 |
|
98 |
78 |
$4K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
66 |
66 |
$4K |
| 11102 |
|
54 |
54 |
$4K |
| 84153 |
|
266 |
266 |
$4K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
42 |
39 |
$4K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
506 |
493 |
$4K |
| 93880 |
|
159 |
159 |
$4K |
| 84460 |
|
977 |
958 |
$4K |
| 81003 |
|
2,738 |
2,581 |
$4K |
| 90688 |
|
228 |
227 |
$4K |
| 76775 |
|
89 |
89 |
$4K |
| 11100 |
|
47 |
46 |
$4K |
| 29075 |
|
74 |
39 |
$4K |
| 83550 |
|
560 |
551 |
$4K |
| 0052A |
|
91 |
91 |
$4K |
| 83540 |
|
666 |
654 |
$4K |
| 99462 |
|
91 |
68 |
$3K |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,418 |
895 |
$3K |
| 29065 |
|
57 |
38 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
320 |
315 |
$3K |
| 73700 |
|
62 |
42 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
97 |
81 |
$3K |
| 93295 |
|
266 |
266 |
$3K |
| 97165 |
|
69 |
61 |
$3K |
| 59025 |
Fetal non-stress test |
90 |
65 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
507 |
502 |
$3K |
| 90698 |
|
203 |
203 |
$3K |
| 90656 |
|
148 |
148 |
$3K |
| 77080 |
|
849 |
849 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
150 |
150 |
$3K |
| 0051A |
|
64 |
64 |
$3K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
23 |
12 |
$3K |
| 83001 |
|
151 |
151 |
$2K |
| 85652 |
|
1,009 |
995 |
$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 |
169 |
164 |
$2K |
| 83721 |
|
318 |
308 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
27 |
15 |
$2K |
| 90662 |
|
689 |
689 |
$2K |
| 74019 |
|
91 |
89 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
676 |
636 |
$2K |
| 82607 |
|
211 |
211 |
$2K |
| 93016 |
|
144 |
142 |
$2K |
| 99358 |
Prolong nursin fac eval 15m |
27 |
27 |
$2K |
| 19083 |
|
13 |
13 |
$2K |
| 82550 |
|
386 |
380 |
$2K |
| 29405 |
|
38 |
25 |
$2K |
| 72146 |
|
21 |
13 |
$2K |
| 71101 |
|
84 |
84 |
$2K |
| 73620 |
|
78 |
62 |
$2K |
| 84146 |
|
105 |
105 |
$2K |
| 73120 |
|
79 |
52 |
$2K |
| 64402 |
|
23 |
12 |
$1K |
| 70486 |
|
32 |
27 |
$1K |
| 72170 |
|
86 |
86 |
$1K |
| 71271 |
|
32 |
25 |
$1K |
| 73090 |
|
107 |
104 |
$1K |
| 94729 |
|
97 |
95 |
$1K |
| 86140 |
|
254 |
253 |
$1K |
| 99307 |
|
305 |
305 |
$1K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
76 |
24 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
478 |
477 |
$985.26 |
| 90682 |
|
24 |
24 |
$981.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
322 |
309 |
$955.78 |
| 72070 |
|
54 |
54 |
$947.51 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
23 |
15 |
$937.47 |
| 73070 |
|
30 |
26 |
$897.87 |
| 73060 |
|
69 |
68 |
$750.70 |
| 82746 |
|
57 |
57 |
$749.58 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$715.12 |
| 99385 |
|
108 |
108 |
$684.60 |
| 99000 |
|
184 |
183 |
$674.09 |
| 0053A |
|
15 |
15 |
$600.00 |
| 99386 |
|
74 |
74 |
$594.90 |
| 82670 |
|
25 |
25 |
$556.80 |
| 77001 |
|
50 |
48 |
$541.37 |
| 0082A |
|
13 |
13 |
$520.00 |
| 51702 |
|
18 |
18 |
$461.03 |
| 90715 |
|
12 |
12 |
$457.20 |
| 74181 |
|
12 |
12 |
$444.96 |
| 17000 |
|
12 |
12 |
$442.86 |
| 84075 |
|
134 |
132 |
$431.29 |
| 83002 |
|
29 |
29 |
$420.76 |
| 90680 |
|
30 |
30 |
$400.50 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
43 |
43 |
$396.00 |
| 87428 |
|
14 |
14 |
$395.40 |
| 84480 |
|
25 |
25 |
$374.78 |
| 82565 |
|
187 |
187 |
$364.11 |
| 90677 |
|
45 |
45 |
$355.34 |
| 90744 |
|
25 |
25 |
$333.00 |
| 83735 |
|
53 |
53 |
$322.76 |
| 94726 |
|
42 |
42 |
$308.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$308.06 |
| 93299 |
|
76 |
76 |
$306.22 |
| 73660 |
|
30 |
29 |
$272.94 |
| 86431 |
|
56 |
56 |
$269.72 |
| 90658 |
|
12 |
12 |
$263.20 |
| 93244 |
|
12 |
12 |
$248.00 |
| 76937 |
|
29 |
28 |
$237.57 |
| 84550 |
|
68 |
68 |
$236.75 |
| 85610 |
|
171 |
111 |
$184.03 |
| 86580 |
|
54 |
54 |
$159.95 |
| 97162 |
|
26 |
26 |
$159.48 |
| 99406 |
|
12 |
12 |
$156.20 |
| 73552 |
|
13 |
12 |
$155.98 |
| 70360 |
|
15 |
15 |
$127.46 |
| 84450 |
|
28 |
28 |
$126.00 |
| 93280 |
|
13 |
13 |
$121.23 |
| 80050 |
General health panel |
13 |
13 |
$113.56 |
| 99442 |
|
17 |
17 |
$110.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
13 |
$94.77 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$85.56 |
| 36416 |
|
104 |
104 |
$79.24 |
| 99241 |
|
13 |
13 |
$76.78 |
| 71100 |
|
12 |
12 |
$72.01 |
| G0008 |
Administration of influenza virus vaccine |
1,008 |
1,008 |
$52.00 |
| 99441 |
|
18 |
14 |
$48.36 |
| 81002 |
|
29 |
28 |
$40.70 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
12 |
12 |
$35.46 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
13 |
$34.20 |
| G0127 |
Trimming of dystrophic nails, any number |
42 |
42 |
$33.08 |
| 1036F |
|
62,958 |
59,876 |
$32.68 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,094 |
3,085 |
$30.59 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
79 |
77 |
$17.17 |
| 3078F |
|
9,255 |
9,143 |
$0.00 |
| 3046F |
|
2,962 |
2,947 |
$0.00 |
| 3077F |
|
2,813 |
2,787 |
$0.00 |
| 3051F |
|
3,278 |
3,264 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
29 |
$0.00 |
| 99387 |
|
17 |
17 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
48 |
$0.00 |
| 99221 |
|
24 |
24 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 3052F |
|
2,032 |
2,021 |
$0.00 |
| 3074F |
|
6,533 |
6,452 |
$0.00 |
| 3075F |
|
2,003 |
1,988 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
218 |
208 |
$0.00 |
| 3079F |
|
2,638 |
2,628 |
$0.00 |
| 3044F |
|
7,794 |
7,728 |
$0.00 |
| 3080F |
|
654 |
653 |
$0.00 |