| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
32,832 |
28,149 |
$1.91M |
| 96361 |
|
12,584 |
9,447 |
$1.46M |
| 99284 |
|
26,112 |
21,785 |
$1.30M |
| 80053 |
|
57,918 |
44,579 |
$1.17M |
| 80307 |
|
14,624 |
9,260 |
$890K |
| U0003 |
Cov-19 amp prb hgh thruput |
9,018 |
8,355 |
$788K |
| 99285 |
|
15,183 |
12,376 |
$683K |
| 87633 |
|
2,022 |
1,806 |
$603K |
| 99282 |
|
9,836 |
8,763 |
$596K |
| 96365 |
|
10,723 |
5,125 |
$579K |
| 87491 |
|
14,621 |
12,590 |
$569K |
| C9803 |
Hopd covid-19 spec collect |
19,863 |
16,569 |
$561K |
| 87502 |
|
5,692 |
4,982 |
$492K |
| 87591 |
|
14,536 |
12,520 |
$483K |
| 74177 |
|
6,968 |
6,077 |
$469K |
| 70450 |
|
6,812 |
5,814 |
$424K |
| G0480 |
Drug test def 1-7 classes |
10,181 |
7,334 |
$419K |
| G0463 |
Hospital outpt clinic visit |
52,236 |
33,839 |
$401K |
| 85025 |
|
47,812 |
34,786 |
$368K |
| 43239 |
|
1,929 |
1,706 |
$339K |
| 87661 |
|
9,746 |
8,534 |
$300K |
| 87635 |
|
7,340 |
6,194 |
$300K |
| 93306 |
|
3,194 |
2,915 |
$298K |
| 84443 |
|
17,747 |
15,862 |
$293K |
| 87086 |
|
20,126 |
17,041 |
$265K |
| 80048 |
|
13,383 |
9,557 |
$259K |
| 96366 |
|
3,522 |
1,823 |
$246K |
| 87210 |
|
9,248 |
8,036 |
$231K |
| 87651 |
|
5,750 |
5,064 |
$224K |
| 80050 |
|
7,689 |
6,991 |
$215K |
| 80061 |
|
16,775 |
15,155 |
$208K |
| 64483 |
|
1,131 |
1,056 |
$196K |
| 78452 |
|
1,308 |
1,169 |
$191K |
| 94640 |
|
6,154 |
3,271 |
$187K |
| 88175 |
|
7,608 |
6,413 |
$186K |
| 84702 |
|
5,162 |
3,404 |
$184K |
| 74176 |
|
2,898 |
2,569 |
$181K |
| 88305 |
|
7,590 |
5,740 |
$172K |
| 96360 |
|
3,041 |
2,379 |
$171K |
| 81001 |
|
37,549 |
30,894 |
$163K |
| 70553 |
|
1,711 |
1,534 |
$162K |
| 82306 |
|
4,522 |
4,019 |
$155K |
| 87624 |
|
4,543 |
4,067 |
$150K |
| 87811 |
|
5,877 |
4,871 |
$146K |
| 85027 |
|
24,806 |
19,399 |
$139K |
| 76816 |
|
2,836 |
2,533 |
$138K |
| 83036 |
|
15,827 |
14,129 |
$130K |
| 76856 |
|
2,836 |
2,570 |
$128K |
| 87077 |
|
7,515 |
6,125 |
$127K |
| 99281 |
|
1,902 |
1,692 |
$125K |
| 76805 |
|
1,846 |
1,728 |
$124K |
| 81025 |
|
13,340 |
11,257 |
$121K |
| 84439 |
|
7,768 |
6,978 |
$120K |
| 97110 |
|
10,469 |
3,974 |
$116K |
| 97602 |
|
4,555 |
948 |
$116K |
| 59025 |
|
1,640 |
1,077 |
$115K |
| 87507 |
|
349 |
281 |
$113K |
| 84484 |
|
15,665 |
9,709 |
$111K |
| 82728 |
|
4,506 |
4,064 |
$108K |
| 85610 |
|
12,418 |
8,963 |
$107K |
| 71275 |
|
1,566 |
1,359 |
$103K |
| 87798 |
|
2,121 |
1,879 |
$100K |
| 76830 |
|
2,706 |
2,452 |
$99K |
| 76705 |
|
2,817 |
2,536 |
$99K |
| 71260 |
|
1,615 |
1,429 |
$96K |
| 45385 |
|
535 |
478 |
$95K |
| U0005 |
Infec agen detec ampli probe |
8,234 |
7,629 |
$86K |
| 83880 |
|
4,232 |
3,544 |
$86K |
| 76801 |
|
2,223 |
1,812 |
$80K |
| 77067 |
|
3,421 |
3,234 |
$75K |
| 82607 |
|
4,198 |
3,825 |
$73K |
| 72148 |
|
1,077 |
988 |
$68K |
| 82962 |
|
14,718 |
5,574 |
$66K |
| 93017 |
|
1,600 |
1,445 |
$64K |
| 87186 |
|
7,851 |
6,374 |
$62K |
| 87150 |
|
1,242 |
1,175 |
$62K |
| 87070 |
|
2,563 |
2,084 |
$62K |
| 82043 |
|
5,494 |
4,973 |
$62K |
| 83690 |
|
11,452 |
9,442 |
$59K |
| 87486 |
|
2,021 |
1,804 |
$59K |
| 82950 |
|
1,987 |
1,826 |
$58K |
| 83735 |
|
11,245 |
7,601 |
$54K |
| 87081 |
|
2,133 |
1,916 |
$54K |
| G0483 |
Drug test def 22+ classes |
31 |
14 |
$54K |
| 82805 |
|
2,484 |
1,928 |
$53K |
| 87581 |
|
2,020 |
1,804 |
$51K |
| 77063 |
|
2,545 |
2,426 |
$51K |
| 72125 |
|
2,109 |
1,774 |
$50K |
| 76817 |
|
1,927 |
1,542 |
$50K |
| 83605 |
|
6,469 |
4,852 |
$47K |
| 92507 |
|
1,073 |
301 |
$47K |
| 87389 |
|
1,951 |
1,721 |
$46K |
| 86140 |
|
5,979 |
4,624 |
$46K |
| 93971 |
|
1,571 |
1,381 |
$43K |
| 84145 |
|
2,923 |
2,303 |
$40K |
| 45380 |
|
247 |
206 |
$40K |
| 87040 |
|
6,523 |
2,899 |
$40K |
| 82075 |
|
2,359 |
598 |
$39K |
| 82570 |
|
7,880 |
6,664 |
$39K |
| 84153 |
|
1,517 |
1,407 |
$38K |
| 82746 |
|
3,524 |
3,218 |
$37K |
| G0378 |
Hospital observation per hr |
10,142 |
3,574 |
$37K |
| 99214 |
|
621 |
552 |
$36K |
| 83540 |
|
4,150 |
3,787 |
$31K |
| 93975 |
|
829 |
753 |
$30K |
| 85379 |
|
4,052 |
3,553 |
$30K |
| 96367 |
|
1,228 |
745 |
$30K |
| 83550 |
|
4,084 |
3,729 |
$29K |
| 84703 |
|
2,951 |
2,577 |
$28K |
| 97140 |
|
4,129 |
1,532 |
$28K |
| 73721 |
|
373 |
324 |
$27K |
| 88141 |
|
1,604 |
1,337 |
$26K |
| 87801 |
|
502 |
431 |
$26K |
| 80055 |
|
474 |
393 |
$26K |
| 71250 |
|
909 |
835 |
$26K |
| 80069 |
|
919 |
772 |
$26K |
| 83970 |
|
791 |
717 |
$25K |
| 95810 |
|
134 |
128 |
$25K |
| 71046 |
|
7,531 |
6,508 |
$25K |
| 82550 |
|
4,589 |
3,188 |
$24K |
| 69436 |
|
51 |
49 |
$24K |
| 86850 |
|
2,717 |
2,161 |
$24K |
| 86803 |
|
1,414 |
1,254 |
$24K |
| 85730 |
|
6,040 |
4,964 |
$23K |
| 85014 |
|
2,426 |
1,552 |
$23K |
| 70498 |
|
268 |
224 |
$21K |
| 99211 |
|
387 |
220 |
$19K |
| 74018 |
|
1,440 |
1,241 |
$19K |
| 70496 |
|
226 |
193 |
$18K |
| 96372 |
|
13,409 |
9,532 |
$18K |
| 66984 |
|
98 |
67 |
$17K |
| 80076 |
|
751 |
629 |
$17K |
| M0243 |
Casirivi and imdevi inj |
59 |
45 |
$17K |
| 93005 |
|
19,200 |
14,781 |
$17K |
| 70486 |
|
478 |
416 |
$16K |
| 0002A |
|
504 |
445 |
$16K |
| 70551 |
|
254 |
211 |
$15K |
| 83655 |
|
343 |
307 |
$15K |
| 85018 |
|
2,742 |
1,947 |
$15K |
| 88342 |
|
1,040 |
848 |
$15K |
| 0001A |
|
535 |
473 |
$15K |
| 97162 |
|
1,591 |
1,386 |
$14K |
| 82565 |
|
1,347 |
985 |
$14K |
| 96374 |
|
15,439 |
12,509 |
$14K |
| 84146 |
|
671 |
585 |
$13K |
| 87634 |
|
171 |
160 |
$13K |
| 84156 |
|
2,026 |
1,685 |
$13K |
| 71271 |
|
277 |
267 |
$12K |
| 76642 |
|
322 |
297 |
$12K |
| 86003 |
|
176 |
148 |
$11K |
| 45378 |
|
60 |
54 |
$11K |
| 97530 |
|
1,611 |
696 |
$11K |
| 72141 |
|
158 |
146 |
$11K |
| 85652 |
|
4,103 |
3,531 |
$11K |
| 11721 |
|
1,238 |
1,157 |
$9K |
| 72100 |
|
1,367 |
1,175 |
$9K |
| 81511 |
|
51 |
38 |
$8K |
| 84112 |
|
76 |
65 |
$8K |
| 71045 |
|
10,656 |
8,829 |
$8K |
| 97112 |
|
712 |
320 |
$8K |
| 36415 |
|
78,854 |
55,528 |
$7K |
| 76770 |
|
128 |
125 |
$7K |
| 85007 |
|
505 |
356 |
$7K |
| 43249 |
|
26 |
26 |
$7K |
| 73630 |
|
2,311 |
1,922 |
$6K |
| 76536 |
|
159 |
143 |
$6K |
| 86900 |
|
2,259 |
1,762 |
$6K |
| 42820 |
|
12 |
12 |
$6K |
| 87536 |
|
74 |
71 |
$6K |
| 92014 |
|
586 |
548 |
$6K |
| 73221 |
|
44 |
40 |
$6K |
| 86901 |
|
2,615 |
2,062 |
$6K |
| 82784 |
|
165 |
152 |
$5K |
| 86696 |
|
217 |
184 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
15,203 |
7,801 |
$5K |
| 73562 |
|
2,059 |
1,716 |
$5K |
| J2405 |
Ondansetron hcl injection |
14,859 |
11,052 |
$5K |
| 86592 |
|
435 |
375 |
$5K |
| 88304 |
|
503 |
438 |
$5K |
| 95811 |
|
27 |
25 |
$5K |
| 84481 |
|
353 |
302 |
$5K |
| 93970 |
|
122 |
111 |
$5K |
| 90715 |
|
1,146 |
969 |
$4K |
| 76815 |
|
107 |
93 |
$4K |
| 80164 |
|
118 |
98 |
$4K |
| 86431 |
|
483 |
406 |
$4K |
| 86038 |
|
318 |
282 |
$4K |
| 84100 |
|
1,261 |
939 |
$4K |
| 83001 |
|
153 |
135 |
$4K |
| 77080 |
|
155 |
144 |
$4K |
| 87340 |
|
343 |
308 |
$3K |
| 86695 |
|
216 |
184 |
$3K |
| 73030 |
|
1,549 |
1,308 |
$3K |
| 76700 |
|
47 |
40 |
$3K |
| 88312 |
|
611 |
519 |
$3K |
| 95816 |
|
29 |
27 |
$3K |
| 86200 |
|
54 |
43 |
$3K |
| 84550 |
|
449 |
398 |
$3K |
| 72040 |
|
146 |
126 |
$3K |
| 97166 |
|
538 |
452 |
$3K |
| 96375 |
|
13,815 |
10,193 |
$3K |
| 10060 |
|
43 |
42 |
$2K |
| 76819 |
|
66 |
38 |
$2K |
| 90471 |
|
1,777 |
1,500 |
$2K |
| 84403 |
|
96 |
91 |
$2K |
| J7120 |
Ringers lactate infusion |
7,724 |
5,988 |
$2K |
| 93308 |
|
18 |
18 |
$2K |
| 95819 |
|
31 |
26 |
$2K |
| 82150 |
|
341 |
296 |
$2K |
| 83615 |
|
510 |
411 |
$2K |
| 86618 |
|
52 |
42 |
$2K |
| 86704 |
|
118 |
101 |
$2K |
| 83516 |
|
115 |
105 |
$2K |
| 82553 |
|
352 |
257 |
$2K |
| 73130 |
|
1,113 |
907 |
$2K |
| 88313 |
|
620 |
513 |
$2K |
| 12001 |
|
24 |
24 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
235 |
198 |
$1K |
| C8929 |
Tte w or wo fol wcon,doppler |
26 |
24 |
$1K |
| 73502 |
|
644 |
567 |
$1K |
| 73610 |
|
1,439 |
1,241 |
$1K |
| 82947 |
|
204 |
162 |
$1K |
| 80178 |
|
13 |
13 |
$1K |
| 20610 |
|
109 |
98 |
$1K |
| J1030 |
Methylprednisolone 40 mg inj |
750 |
707 |
$1K |
| 73110 |
|
802 |
652 |
$1K |
| 86706 |
|
110 |
93 |
$1K |
| 93922 |
|
40 |
37 |
$1K |
| 86255 |
|
80 |
75 |
$1K |
| 97163 |
|
128 |
120 |
$1K |
| 77091 |
|
132 |
124 |
$1K |
| 87641 |
|
13 |
13 |
$1K |
| 99204 |
|
13 |
12 |
$1K |
| 84460 |
|
213 |
144 |
$993.53 |
| 81003 |
|
351 |
237 |
$929.44 |
| 96413 |
|
88 |
49 |
$926.55 |
| 86787 |
|
69 |
59 |
$906.82 |
| 82951 |
|
12 |
12 |
$903.60 |
| 82140 |
|
50 |
39 |
$863.45 |
| 72131 |
|
46 |
36 |
$858.26 |
| J7030 |
Normal saline solution infus |
25,350 |
16,835 |
$796.50 |
| 97116 |
|
183 |
95 |
$786.57 |
| C9290 |
Inj, bupivacaine liposome |
879 |
700 |
$768.90 |
| 90834 |
|
187 |
141 |
$763.98 |
| A9500 |
Tc99m sestamibi |
1,312 |
1,174 |
$745.31 |
| 70491 |
|
13 |
13 |
$745.20 |
| 99152 |
|
844 |
700 |
$729.60 |
| 82010 |
|
49 |
36 |
$653.05 |
| J1642 |
Inj heparin sodium per 10 u |
4,556 |
2,098 |
$645.63 |
| 87522 |
Neg quan hep c or qual rna |
16 |
14 |
$602.17 |
| 83992 |
|
29 |
12 |
$599.43 |
| 86308 |
|
63 |
51 |
$566.05 |
| A9577 |
Inj multihance |
2,699 |
2,362 |
$528.27 |
| 36591 |
|
1,055 |
467 |
$524.69 |
| 82272 |
|
68 |
63 |
$493.47 |
| J2001 |
Lidocaine injection |
1,964 |
1,355 |
$491.17 |
| 90686 |
|
1,160 |
1,021 |
$486.75 |
| 82040 |
|
34 |
29 |
$454.83 |
| 87147 |
|
106 |
97 |
$452.39 |
| 82977 |
|
59 |
44 |
$420.31 |
| J7050 |
Normal saline solution infus |
23,898 |
12,597 |
$399.74 |
| 76882 |
|
12 |
12 |
$398.68 |
| 73080 |
|
59 |
50 |
$386.97 |
| G0382 |
Lev 3 hosp type b ed visit |
13 |
12 |
$380.86 |
| 76000 |
|
29 |
24 |
$376.10 |
| J2795 |
Ropivacaine hcl injection |
1,297 |
730 |
$341.48 |
| 88164 |
|
29 |
20 |
$329.92 |
| 87109 |
|
31 |
27 |
$319.23 |
| 92004 |
|
13 |
12 |
$319.14 |
| G0297 |
Ldct for lung ca screen |
14 |
12 |
$302.41 |
| 93880 |
|
12 |
12 |
$286.20 |
| 96376 |
|
4,601 |
2,618 |
$285.14 |
| G0279 |
Tomosynthesis, mammo |
58 |
52 |
$268.83 |
| 76820 |
|
22 |
12 |
$242.88 |
| 82785 |
|
29 |
27 |
$221.11 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$195.87 |
| 84155 |
|
62 |
54 |
$194.37 |
| 92610 |
|
15 |
12 |
$165.66 |
| 84165 |
|
17 |
15 |
$148.20 |
| 85651 |
|
144 |
116 |
$138.26 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16,183 |
11,625 |
$128.48 |
| 82310 |
|
29 |
15 |
$123.37 |
| J2270 |
Morphine sulfate injection |
3,483 |
2,486 |
$120.43 |
| J1100 |
Dexamethasone sodium phos |
7,914 |
5,687 |
$118.94 |
| 85045 |
|
23 |
14 |
$115.37 |
| 93325 |
|
12 |
12 |
$115.26 |
| 84132 |
|
36 |
26 |
$108.30 |
| G0472 |
Hep c screen high risk/other |
88 |
83 |
$101.63 |
| J0171 |
Adrenalin epinephrine inject |
1,325 |
551 |
$101.20 |
| 98927 |
|
530 |
358 |
$100.84 |
| 73140 |
|
76 |
67 |
$95.55 |
| 87205 |
|
40 |
25 |
$93.05 |
| L3906 |
Who w/o joints cf |
26 |
25 |
$89.42 |
| J1815 |
Insulin injection |
2,192 |
1,239 |
$80.24 |
| J2060 |
Lorazepam injection |
1,465 |
1,052 |
$76.06 |
| 84450 |
|
18 |
14 |
$75.89 |
| 84520 |
|
15 |
12 |
$61.03 |
| J7040 |
Normal saline solution infus |
3,715 |
2,179 |
$56.54 |
| 85048 |
|
29 |
24 |
$55.22 |
| 82247 |
|
19 |
16 |
$55.12 |
| G0008 |
Admin influenza virus vac |
1,656 |
1,492 |
$53.89 |
| 90732 |
|
44 |
37 |
$52.90 |
| 97535 |
|
59 |
37 |
$50.65 |
| J1885 |
Ketorolac tromethamine inj |
14,313 |
9,041 |
$47.78 |
| S0119 |
Ondansetron 4 mg |
2,220 |
1,896 |
$45.05 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
391 |
339 |
$44.25 |
| J0131 |
Inj, acetaminophen (nos) |
1,817 |
1,379 |
$35.98 |
| 90677 |
|
38 |
32 |
$32.62 |
| 73590 |
|
58 |
50 |
$30.09 |
| G0009 |
Admin pneumococcal vaccine |
239 |
203 |
$28.38 |
| J0696 |
Ceftriaxone sodium injection |
4,170 |
2,258 |
$27.63 |
| J2785 |
Regadenoson injection |
784 |
708 |
$26.64 |
| J3301 |
Triamcinolone acet inj nos |
316 |
277 |
$25.71 |
| 99490 |
Ccm add 20min |
355 |
342 |
$19.52 |
| 90656 |
|
33 |
33 |
$18.74 |
| 99495 |
|
201 |
178 |
$13.58 |
| 92226 |
|
122 |
103 |
$11.21 |
| J1170 |
Hydromorphone injection |
6,725 |
4,483 |
$7.88 |
| J3010 |
Fentanyl citrate injection |
8,547 |
6,708 |
$7.23 |
| 71101 |
|
44 |
40 |
$4.91 |
| J2919 |
Inj, methylpred sod succ 5mg |
117 |
72 |
$4.87 |
| 92133 |
|
40 |
37 |
$4.56 |
| J1200 |
Diphenhydramine hcl injectio |
3,750 |
3,019 |
$4.32 |
| C1769 |
Guide wire |
299 |
255 |
$3.75 |
| 92083 |
|
27 |
24 |
$3.42 |
| J3420 |
Vitamin b12 injection |
379 |
323 |
$1.50 |
| J2370 |
Phenylephrine hcl injection |
768 |
628 |
$0.89 |
| J2250 |
Inj midazolam hydrochloride |
7,581 |
5,401 |
$0.84 |
| 94799 |
|
81 |
68 |
$0.53 |
| J1790 |
Droperidol injection |
447 |
366 |
$0.44 |
| C9113 |
Inj pantoprazole sodium, via |
286 |
145 |
$0.37 |
| J2930 |
Methylprednisolone injection |
556 |
374 |
$0.28 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,871 |
1,330 |
$0.19 |
| 92134 |
|
206 |
180 |
$0.19 |
| J1650 |
Inj enoxaparin sodium |
223 |
78 |
$0.04 |
| J0690 |
Cefazolin sodium injection |
3,421 |
2,454 |
$0.01 |
| G8979 |
Mobility goal status |
377 |
306 |
$0.01 |
| G1004 |
Cdsm ndsc |
3,202 |
2,406 |
$0.01 |
| G8978 |
Mobility current status |
314 |
273 |
$0.01 |
| J1040 |
Methylprednisolone 80 mg inj |
542 |
502 |
$0.00 |
| J8540 |
Oral dexamethasone |
495 |
364 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
2,345 |
1,953 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
646 |
526 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
52 |
52 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
195 |
169 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
1,627 |
1,154 |
$0.00 |
| J1817 |
Insulin for insulin pump use |
370 |
249 |
$0.00 |
| Q0162 |
Ondansetron oral |
437 |
395 |
$0.00 |
| 73560 |
|
30 |
26 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
93 |
68 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
826 |
688 |
$0.00 |
| 90480 |
|
28 |
28 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
44 |
14 |
$0.00 |
| G8980 |
Mobility d/c status |
74 |
67 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
600 |
268 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
75 |
68 |
$0.00 |
| 99406 |
|
15 |
12 |
$0.00 |
| 51798 |
|
26 |
24 |
$0.00 |
| J3480 |
Inj potassium chloride |
25 |
12 |
$0.00 |
| 72170 |
|
18 |
17 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
16 |
12 |
$0.00 |
| G0103 |
Psa screening |
14 |
14 |
$0.00 |
| J1940 |
Furosemide injection |
35 |
25 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
114 |
93 |
$0.00 |
| S4005 |
Interim labor facility globa |
639 |
460 |
$0.00 |
| J2550 |
Promethazine hcl injection |
190 |
157 |
$0.00 |
| C1887 |
Catheter, guiding |
58 |
51 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
292 |
192 |
$0.00 |
| J0780 |
Prochlorperazine injection |
512 |
449 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
313 |
182 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
107 |
89 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
387 |
200 |
$0.00 |
| E0110 |
Crutch forearm pair |
12 |
12 |
$0.00 |
| 90662 |
|
423 |
385 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
45 |
29 |
$0.00 |
| 92202 |
|
37 |
36 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
102 |
54 |
$0.00 |
| J1956 |
Levofloxacin injection |
71 |
42 |
$0.00 |
| L3260 |
Ambulatory surgical boot eac |
62 |
55 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
130 |
79 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
15 |
12 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
71 |
65 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
182 |
79 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
36 |
17 |
$0.00 |
| 91322 |
|
29 |
29 |
$0.00 |
| 51701 |
|
14 |
13 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
28 |
12 |
$0.00 |