| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
173,713 |
144,495 |
$24.76M |
| 99213 |
|
150,495 |
134,651 |
$21.76M |
| 99283 |
|
73,978 |
68,586 |
$16.59M |
| J9271 |
Inj pembrolizumab |
1,361 |
1,063 |
$12.56M |
| 99284 |
|
54,511 |
49,951 |
$10.53M |
| 90834 |
|
45,513 |
29,693 |
$10.33M |
| 99285 |
|
42,965 |
36,250 |
$7.04M |
| 90832 |
|
40,111 |
27,348 |
$6.99M |
| 99215 |
Prolong outpt/office vis |
26,777 |
24,254 |
$4.84M |
| 99282 |
|
15,727 |
15,090 |
$3.67M |
| 36415 |
|
125,665 |
89,696 |
$3.51M |
| 96361 |
|
14,336 |
12,413 |
$2.98M |
| 99212 |
|
28,703 |
25,819 |
$2.96M |
| 93306 |
|
16,975 |
13,014 |
$2.76M |
| 99204 |
|
15,459 |
15,281 |
$2.72M |
| 80048 |
|
78,966 |
73,470 |
$2.45M |
| G0378 |
Hospital observation per hr |
3,649 |
3,573 |
$2.40M |
| Q5111 |
Injection, udenyca 0.5 mg |
908 |
665 |
$2.31M |
| 19083 |
|
1,393 |
1,384 |
$2.31M |
| 99391 |
|
18,290 |
17,365 |
$2.28M |
| 74177 |
|
12,346 |
12,104 |
$2.25M |
| G0463 |
Hospital outpt clinic visit |
25,237 |
18,460 |
$2.22M |
| 77412 |
|
7,197 |
780 |
$2.08M |
| 90853 |
|
18,975 |
4,754 |
$2.02M |
| J0897 |
Denosumab injection |
1,079 |
1,037 |
$1.91M |
| 93320 |
|
6,894 |
6,884 |
$1.89M |
| 99203 |
|
10,599 |
10,535 |
$1.80M |
| 47562 |
|
661 |
657 |
$1.79M |
| 59025 |
|
8,873 |
7,329 |
$1.72M |
| 96413 |
|
13,375 |
8,245 |
$1.71M |
| 99392 |
|
14,589 |
14,508 |
$1.71M |
| J9306 |
Injection, pertuzumab, 1 mg |
372 |
277 |
$1.65M |
| 54161 |
|
1,232 |
1,230 |
$1.65M |
| 80053 |
|
65,073 |
47,279 |
$1.62M |
| 70450 |
|
8,081 |
7,859 |
$1.57M |
| J1439 |
Inj ferric carboxymaltos 1mg |
2,073 |
1,518 |
$1.51M |
| 90791 |
|
5,381 |
5,344 |
$1.46M |
| 99281 |
|
5,929 |
5,625 |
$1.43M |
| 96415 |
|
5,441 |
3,732 |
$1.42M |
| 95810 |
|
1,706 |
1,690 |
$1.40M |
| 43239 |
|
1,827 |
1,825 |
$1.35M |
| J9355 |
Inj trastuzumab excl biosimi |
329 |
222 |
$1.34M |
| 90792 |
|
6,238 |
5,791 |
$1.30M |
| 78815 |
|
2,253 |
2,186 |
$1.22M |
| 96360 |
|
6,410 |
5,686 |
$1.21M |
| 92551 |
|
18,950 |
18,924 |
$1.14M |
| 96365 |
|
8,911 |
6,834 |
$1.11M |
| 76641 |
|
21,219 |
11,840 |
$1.07M |
| 81025 |
|
24,548 |
23,549 |
$1.05M |
| 50590 |
|
407 |
389 |
$1.00M |
| J1950 |
Leuprolide acetate /3.75 mg |
583 |
564 |
$972K |
| 76700 |
|
3,064 |
2,988 |
$938K |
| 99393 |
|
10,224 |
10,159 |
$934K |
| 77067 |
|
10,269 |
10,003 |
$926K |
| 41899 |
|
588 |
588 |
$921K |
| J2505 |
Injection, pegfilgrastim 6mg |
292 |
222 |
$921K |
| 99205 |
Prolong outpt/office vis |
4,518 |
4,453 |
$915K |
| Q5118 |
Inj., zirabev, 10 mg |
843 |
374 |
$905K |
| 97110 |
|
14,745 |
6,008 |
$904K |
| 78452 |
|
3,772 |
3,676 |
$811K |
| 77336 |
|
2,579 |
1,189 |
$778K |
| 77049 |
|
2,166 |
2,116 |
$751K |
| 87581 |
|
22,718 |
22,126 |
$713K |
| 77066 |
Tomosynthesis, mammo |
7,083 |
6,821 |
$704K |
| 86850 |
|
21,452 |
19,792 |
$696K |
| 93304 |
|
2,331 |
2,190 |
$683K |
| 70553 |
|
2,132 |
2,088 |
$674K |
| 90847 |
|
2,552 |
2,368 |
$672K |
| 87633 |
|
7,882 |
7,784 |
$671K |
| 0202U |
|
16,715 |
16,351 |
$664K |
| 76856 |
|
1,687 |
1,665 |
$663K |
| U0002 |
Covid-19 lab test non-cdc |
34,879 |
33,771 |
$656K |
| 45380 |
|
658 |
656 |
$633K |
| 76770 |
|
2,523 |
2,454 |
$631K |
| 88305 |
|
11,449 |
11,187 |
$626K |
| 87491 |
|
14,738 |
14,548 |
$605K |
| 74176 |
|
2,957 |
2,902 |
$604K |
| 12011 |
|
1,642 |
1,635 |
$597K |
| T1013 |
Sign lang/oral interpreter |
16,723 |
15,753 |
$592K |
| D9223 |
|
1,270 |
1,268 |
$583K |
| 99394 |
|
6,319 |
6,262 |
$573K |
| 44970 |
|
237 |
237 |
$561K |
| 12001 |
|
1,517 |
1,513 |
$560K |
| 69436 |
|
351 |
351 |
$549K |
| 96372 |
|
20,910 |
17,277 |
$544K |
| 87631 |
|
5,754 |
5,679 |
$534K |
| 82803 |
|
32,477 |
31,032 |
$532K |
| 77065 |
Tomosynthesis, mammo |
6,397 |
5,992 |
$515K |
| 77062 |
|
6,048 |
5,831 |
$507K |
| 95117 |
|
7,855 |
4,698 |
$497K |
| D0120 |
|
17,458 |
15,221 |
$487K |
| J9202 |
Goserelin acetate implant |
821 |
770 |
$486K |
| 99291 |
|
3,004 |
2,968 |
$481K |
| 93303 |
|
5,378 |
5,376 |
$461K |
| 45385 |
|
585 |
583 |
$444K |
| Q5114 |
Inj ogivri 10 mg |
242 |
172 |
$441K |
| 49505 |
|
191 |
185 |
$439K |
| 10E0XZZ |
|
1,193 |
80 |
$438K |
| 88307 |
|
1,786 |
1,768 |
$434K |
| 90833 |
|
5,230 |
4,587 |
$431K |
| 90460 |
|
11,581 |
11,540 |
$430K |
| 71260 |
|
4,133 |
4,003 |
$419K |
| 90461 |
|
10,276 |
10,245 |
$419K |
| 80076 |
|
47,856 |
45,235 |
$417K |
| J7120 |
Ringers lactate infusion |
24,626 |
13,245 |
$414K |
| 93308 |
|
1,824 |
1,805 |
$410K |
| 94010 |
|
6,370 |
6,253 |
$403K |
| 95782 |
|
433 |
433 |
$402K |
| 93325 |
|
10,022 |
9,733 |
$401K |
| 70551 |
|
1,834 |
1,807 |
$396K |
| D1120 |
|
11,035 |
11,017 |
$383K |
| 93880 |
|
1,224 |
1,205 |
$380K |
| 19301 |
|
158 |
157 |
$370K |
| 42820 |
|
224 |
224 |
$366K |
| 95004 |
|
1,785 |
1,381 |
$355K |
| 90686 |
|
24,089 |
24,017 |
$351K |
| G0008 |
Admin influenza virus vac |
19,422 |
19,366 |
$337K |
| 93458 |
|
198 |
197 |
$334K |
| 71275 |
|
1,563 |
1,537 |
$320K |
| 96161 |
|
7,463 |
7,451 |
$308K |
| 76825 |
|
1,580 |
1,564 |
$301K |
| 82962 |
|
34,148 |
26,202 |
$300K |
| 96367 |
|
3,926 |
2,522 |
$298K |
| 76642 |
|
6,781 |
5,619 |
$297K |
| 86901 |
|
21,469 |
19,816 |
$292K |
| D2930 |
|
2,044 |
1,455 |
$291K |
| 99173 |
|
15,973 |
15,951 |
$286K |
| 19081 |
|
167 |
165 |
$286K |
| 83880 |
|
6,210 |
6,016 |
$285K |
| 95115 |
|
4,065 |
2,738 |
$280K |
| 77061 |
|
4,181 |
4,008 |
$278K |
| 88342 |
|
2,709 |
2,658 |
$276K |
| D7140 |
|
4,931 |
3,928 |
$273K |
| 96375 |
|
20,547 |
15,995 |
$267K |
| 96416 |
|
1,064 |
670 |
$264K |
| 99395 |
|
2,395 |
2,382 |
$263K |
| J1453 |
Fosaprepitant injection |
2,211 |
1,582 |
$263K |
| 97140 |
|
5,342 |
2,368 |
$258K |
| 86769 |
|
10,659 |
10,397 |
$248K |
| 76705 |
|
5,441 |
5,239 |
$247K |
| 77386 |
|
660 |
69 |
$247K |
| 72197 |
|
761 |
742 |
$244K |
| 87591 |
|
14,735 |
14,545 |
$233K |
| 87798 |
|
6,364 |
6,293 |
$231K |
| 86900 |
|
21,751 |
20,095 |
$230K |
| 51798 |
|
900 |
114 |
$227K |
| 87632 |
|
3,453 |
3,389 |
$224K |
| 77387 |
|
1,160 |
131 |
$222K |
| 12002 |
|
577 |
575 |
$215K |
| 95165 |
|
11,714 |
7,246 |
$213K |
| 90846 |
|
1,158 |
1,052 |
$210K |
| 99202 |
|
1,516 |
1,513 |
$208K |
| D8670 |
|
1,083 |
1,054 |
$206K |
| J9035 |
Bevacizumab injection |
68 |
40 |
$205K |
| 86480 |
|
3,391 |
3,364 |
$205K |
| 93970 |
|
566 |
565 |
$205K |
| 77063 |
|
10,251 |
9,985 |
$204K |
| A9552 |
F18 fdg |
1,007 |
946 |
$202K |
| 90472 |
|
6,121 |
6,102 |
$202K |
| 36430 |
|
1,613 |
1,382 |
$201K |
| D2392 |
|
2,869 |
2,492 |
$199K |
| J1745 |
Infliximab not biosimil 10mg |
57 |
54 |
$196K |
| 88341 |
|
1,415 |
1,391 |
$195K |
| 85025 |
|
80,849 |
67,412 |
$194K |
| 90836 |
|
1,559 |
1,102 |
$190K |
| 77290 |
|
568 |
520 |
$190K |
| 93454 |
|
129 |
126 |
$189K |
| 87651 |
|
3,484 |
3,442 |
$187K |
| D2391 |
|
3,488 |
2,902 |
$186K |
| 95811 |
|
243 |
241 |
$185K |
| D1110 |
|
4,563 |
4,546 |
$180K |
| 99396 |
|
1,299 |
1,297 |
$177K |
| 87486 |
|
23,913 |
23,268 |
$173K |
| 58558 |
|
121 |
120 |
$172K |
| 90750 |
|
1,128 |
1,120 |
$168K |
| 96366 |
|
1,413 |
1,025 |
$165K |
| 97112 |
|
5,752 |
2,763 |
$165K |
| 80307 |
|
2,734 |
2,652 |
$165K |
| A9500 |
Tc99m sestamibi |
2,953 |
2,948 |
$162K |
| 90471 |
|
12,637 |
12,283 |
$161K |
| 96127 |
|
18,380 |
17,695 |
$160K |
| 80061 |
|
17,376 |
17,212 |
$157K |
| 76815 |
|
1,562 |
1,501 |
$157K |
| 96417 |
|
3,101 |
2,247 |
$156K |
| D1208 |
|
12,804 |
12,787 |
$155K |
| 71250 |
|
1,618 |
1,575 |
$155K |
| 90715 |
|
7,376 |
7,357 |
$150K |
| 71046 |
|
20,515 |
20,062 |
$148K |
| J2785 |
Regadenoson injection |
2,172 |
2,170 |
$146K |
| 77001 |
|
277 |
271 |
$145K |
| 74183 |
|
435 |
421 |
$142K |
| 82306 |
|
6,966 |
6,891 |
$141K |
| 87635 |
|
13,993 |
13,669 |
$140K |
| 93005 |
|
53,072 |
50,369 |
$139K |
| 42830 |
|
64 |
64 |
$138K |
| 96110 |
|
1,733 |
1,728 |
$137K |
| 85610 |
|
32,671 |
28,158 |
$136K |
| 93017 |
|
4,617 |
4,599 |
$135K |
| 41010 |
|
81 |
81 |
$133K |
| 97530 |
|
2,958 |
1,437 |
$133K |
| 77334 |
|
650 |
570 |
$132K |
| P9021 |
Red blood cells unit |
515 |
456 |
$129K |
| Q5103 |
Injection, inflectra |
114 |
100 |
$128K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,936 |
3,896 |
$127K |
| J2469 |
Palonosetron hcl |
3,272 |
2,185 |
$127K |
| 88142 |
|
4,898 |
4,893 |
$127K |
| D0150 |
|
4,036 |
3,391 |
$125K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
9,029 |
5,438 |
$124K |
| 97010 |
|
4,581 |
2,076 |
$124K |
| J9070 |
Cyclophosphamide 100 mg inj |
463 |
231 |
$124K |
| 87502 |
|
1,625 |
1,608 |
$124K |
| 77014 |
|
1,505 |
167 |
$122K |
| 88112 |
|
916 |
892 |
$119K |
| 97161 |
|
983 |
886 |
$119K |
| 93296 |
|
3,837 |
3,826 |
$118K |
| Q5117 |
Inj., kanjinti, 10 mg |
128 |
68 |
$118K |
| 97162 |
|
922 |
876 |
$118K |
| 45390 |
|
90 |
90 |
$114K |
| 88304 |
|
4,123 |
4,091 |
$114K |
| 10060 |
|
392 |
381 |
$111K |
| 90670 |
|
9,715 |
9,695 |
$109K |
| D0272 |
|
9,269 |
9,249 |
$108K |
| 90651 |
|
3,618 |
3,615 |
$108K |
| D1351 |
|
2,403 |
1,238 |
$105K |
| 20610 |
|
148 |
141 |
$104K |
| 76536 |
|
1,526 |
1,456 |
$103K |
| 99381 |
|
752 |
752 |
$102K |
| 97014 |
|
4,045 |
1,537 |
$98K |
| 70491 |
|
638 |
618 |
$97K |
| P9040 |
Rbc leukoreduced irradiated |
299 |
253 |
$97K |
| 87624 |
|
2,914 |
2,913 |
$94K |
| 99443 |
|
1,019 |
998 |
$93K |
| 94728 |
|
430 |
422 |
$92K |
| 76827 |
|
1,579 |
1,562 |
$92K |
| 90647 |
|
8,896 |
8,882 |
$91K |
| 87389 |
|
6,965 |
6,909 |
$88K |
| 83655 |
|
5,669 |
5,642 |
$87K |
| 54150 |
|
50 |
50 |
$87K |
| 84443 |
|
17,619 |
17,093 |
$86K |
| 99442 |
|
1,134 |
1,095 |
$85K |
| 96411 |
|
1,707 |
1,207 |
$84K |
| 96402 |
|
2,116 |
2,011 |
$83K |
| 90723 |
|
9,028 |
9,016 |
$83K |
| 93242 |
|
606 |
601 |
$82K |
| 76937 |
|
519 |
513 |
$79K |
| 85730 |
|
25,480 |
24,630 |
$78K |
| D0140 |
|
4,053 |
3,672 |
$75K |
| 82728 |
|
8,536 |
8,144 |
$74K |
| 92507 |
|
667 |
318 |
$73K |
| 87653 |
|
1,992 |
1,975 |
$71K |
| 13132 |
|
105 |
105 |
$71K |
| 76098 |
|
358 |
317 |
$69K |
| 70544 |
|
283 |
282 |
$68K |
| J1756 |
Iron sucrose injection |
1,664 |
912 |
$68K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
5,767 |
5,461 |
$67K |
| A9505 |
Tl201 thallium |
1,389 |
1,385 |
$67K |
| 96374 |
|
23,425 |
21,722 |
$67K |
| 45378 |
|
55 |
55 |
$67K |
| 70486 |
|
1,569 |
1,541 |
$66K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
62 |
49 |
$66K |
| J7300 |
Intra copp contra (paragard) |
79 |
79 |
$66K |
| 77300 |
|
307 |
294 |
$65K |
| 87426 |
|
1,104 |
1,083 |
$65K |
| 97124 |
|
2,768 |
1,419 |
$64K |
| 97163 |
|
530 |
484 |
$63K |
| 76870 |
|
1,002 |
969 |
$63K |
| 90633 |
|
5,317 |
5,311 |
$60K |
| 93971 |
|
850 |
826 |
$60K |
| 49500 |
|
26 |
26 |
$60K |
| 90837 |
|
246 |
221 |
$59K |
| 25600 |
|
131 |
131 |
$59K |
| 76817 |
|
782 |
753 |
$58K |
| D0330 |
|
2,262 |
2,256 |
$57K |
| 83036 |
|
13,570 |
13,451 |
$56K |
| 94760 |
|
12,250 |
11,622 |
$54K |
| 87481 |
|
1,854 |
1,832 |
$53K |
| 94060 |
|
1,383 |
1,354 |
$53K |
| 92526 |
|
431 |
217 |
$52K |
| 84466 |
|
6,656 |
6,412 |
$52K |
| 90681 |
|
5,859 |
5,851 |
$52K |
| 84439 |
|
9,816 |
9,650 |
$52K |
| 13152 |
|
85 |
85 |
$52K |
| 94729 |
|
1,315 |
1,285 |
$51K |
| G0009 |
Admin pneumococcal vaccine |
4,892 |
4,882 |
$50K |
| 97803 |
|
1,218 |
1,129 |
$49K |
| 84133 |
|
22,809 |
21,969 |
$49K |
| 95816 |
|
175 |
175 |
$49K |
| 86923 |
|
980 |
859 |
$48K |
| J9217 |
Leuprolide acetate suspnsion |
188 |
184 |
$48K |
| 94726 |
|
1,340 |
1,310 |
$48K |
| J0640 |
Leucovorin calcium injection |
1,261 |
569 |
$48K |
| 81015 |
|
14,439 |
13,547 |
$47K |
| 76885 |
|
620 |
595 |
$47K |
| G2066 |
Inter devc remote 30d |
2,095 |
2,088 |
$46K |
| 41115 |
|
26 |
26 |
$46K |
| 87086 |
|
16,898 |
16,357 |
$45K |
| 70496 |
|
268 |
267 |
$45K |
| G0283 |
Elec stim other than wound |
2,193 |
996 |
$45K |
| Q5119 |
Inj ruxience, 10 mg |
33 |
16 |
$45K |
| 90620 |
|
2,620 |
2,618 |
$45K |
| D0220 |
|
6,064 |
5,948 |
$45K |
| 90707 |
|
3,381 |
3,368 |
$44K |
| 3E0234Z |
|
105 |
16 |
$43K |
| U0005 |
Infec agen detec ampli probe |
3,930 |
3,888 |
$42K |
| 90746 |
|
856 |
852 |
$42K |
| 81513 |
|
542 |
539 |
$42K |
| 86780 |
|
7,125 |
7,037 |
$41K |
| 82607 |
|
4,769 |
4,709 |
$41K |
| A0429 |
Bls-emergency |
181 |
176 |
$41K |
| J7050 |
Normal saline solution infus |
5,902 |
5,264 |
$41K |
| J9267 |
Paclitaxel injection |
2,079 |
754 |
$41K |
| 90677 |
|
1,802 |
1,800 |
$40K |
| 87661 |
|
2,033 |
2,010 |
$40K |
| 90716 |
|
3,185 |
3,178 |
$39K |
| 86803 |
|
5,557 |
5,503 |
$38K |
| 83970 |
|
879 |
854 |
$38K |
| 36561 |
|
29 |
28 |
$38K |
| C9600 |
Perc drug-el cor stent sing |
30 |
30 |
$37K |
| 85027 |
|
10,533 |
10,439 |
$36K |
| A4606 |
Oxygen probe used w oximeter |
3,023 |
2,850 |
$36K |
| 88360 |
|
309 |
303 |
$35K |
| 82378 |
|
2,933 |
2,521 |
$35K |
| 76882 |
|
933 |
900 |
$35K |
| 94640 |
|
5,863 |
4,915 |
$34K |
| 19085 |
|
13 |
13 |
$34K |
| 99211 |
|
849 |
803 |
$34K |
| 97116 |
|
1,268 |
866 |
$34K |
| C1726 |
Cath, bal dil, non-vascular |
3,234 |
2,198 |
$33K |
| D0274 |
|
1,801 |
1,793 |
$33K |
| 96409 |
|
327 |
157 |
$32K |
| 85004 |
|
36,804 |
34,746 |
$32K |
| 99417 |
Prolong home eval add 15m |
1,309 |
1,227 |
$31K |
| 71045 |
|
10,329 |
9,978 |
$31K |
| 82670 |
|
1,411 |
1,385 |
$31K |
| 84484 |
|
16,506 |
14,911 |
$30K |
| 76816 |
|
250 |
250 |
$30K |
| 84702 |
|
10,196 |
9,204 |
$29K |
| J2426 |
Inj, invega sustenna, 1 mg |
492 |
459 |
$29K |
| 90734 |
|
3,220 |
3,219 |
$29K |
| 96523 |
|
598 |
451 |
$28K |
| 97802 |
|
532 |
531 |
$28K |
| 93351 |
|
170 |
168 |
$28K |
| 83540 |
|
6,760 |
6,510 |
$28K |
| 84403 |
|
1,343 |
1,328 |
$28K |
| 83001 |
|
1,878 |
1,855 |
$27K |
| 82784 |
|
2,376 |
2,317 |
$27K |
| 83615 |
|
8,828 |
7,299 |
$27K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,027 |
7,368 |
$27K |
| 0241U |
|
2,406 |
2,367 |
$27K |
| 36410 |
|
1,307 |
1,196 |
$27K |
| D3220 |
|
249 |
231 |
$26K |
| 92610 |
|
186 |
186 |
$26K |
| 82746 |
|
3,203 |
3,172 |
$26K |
| D0230 |
|
1,892 |
1,891 |
$26K |
| 83002 |
|
1,763 |
1,744 |
$25K |
| 87340 |
|
5,626 |
5,560 |
$25K |
| J7030 |
Normal saline solution infus |
6,590 |
6,133 |
$25K |
| 82248 |
|
6,715 |
5,046 |
$25K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
220 |
216 |
$24K |
| 86300 |
|
1,510 |
1,403 |
$24K |
| D0210 |
|
1,457 |
1,444 |
$24K |
| 81002 |
|
8,031 |
7,781 |
$24K |
| D8660 |
|
833 |
827 |
$24K |
| 13131 |
|
40 |
40 |
$24K |
| 77072 |
|
1,684 |
1,560 |
$23K |
| J9045 |
Carboplatin injection |
1,271 |
619 |
$23K |
| 83020 |
|
2,514 |
2,472 |
$23K |
| 90700 |
|
2,656 |
2,653 |
$23K |
| 86880 |
|
1,111 |
1,072 |
$23K |
| 86920 |
|
435 |
429 |
$23K |
| 72148 |
|
119 |
118 |
$23K |
| J9263 |
Oxaliplatin |
553 |
255 |
$22K |
| D9310 |
|
672 |
670 |
$22K |
| 93321 |
|
2,210 |
2,081 |
$22K |
| C9290 |
Inj, bupivacaine liposome |
1,917 |
1,758 |
$22K |
| 36406 |
|
815 |
745 |
$22K |
| 72125 |
|
985 |
975 |
$22K |
| 76775 |
|
456 |
454 |
$22K |
| 74220 |
|
490 |
475 |
$22K |
| 93225 |
|
240 |
236 |
$21K |
| 83735 |
|
12,676 |
11,934 |
$21K |
| 86304 |
|
1,722 |
1,560 |
$21K |
| 99441 |
|
329 |
319 |
$21K |
| 93925 |
|
61 |
60 |
$20K |
| 12052 |
|
29 |
29 |
$20K |
| 87641 |
|
769 |
760 |
$20K |
| 96401 |
|
239 |
120 |
$20K |
| 99406 |
|
1,028 |
934 |
$19K |
| 90696 |
|
2,146 |
2,145 |
$19K |
| 19499 |
|
13 |
13 |
$19K |
| 90378 |
|
173 |
172 |
$19K |
| 84703 |
|
6,345 |
6,291 |
$19K |
| J9190 |
Fluorouracil injection |
1,687 |
736 |
$19K |
| 86762 |
|
2,041 |
2,025 |
$19K |
| 83921 |
|
1,349 |
1,336 |
$19K |
| 76857 |
|
661 |
648 |
$19K |
| 90656 |
|
1,724 |
1,724 |
$19K |
| 74174 |
|
220 |
214 |
$19K |
| 84146 |
|
1,178 |
1,170 |
$18K |
| 84153 |
|
1,741 |
1,680 |
$18K |
| C1769 |
Guide wire |
2,404 |
2,313 |
$17K |
| 88321 |
|
227 |
224 |
$17K |
| 87801 |
|
538 |
533 |
$17K |
| 90710 |
|
2,041 |
2,041 |
$16K |
| 93280 |
|
1,235 |
1,176 |
$16K |
| C1781 |
Mesh (implantable) |
340 |
335 |
$16K |
| 95812 |
|
58 |
56 |
$16K |
| 58300 |
|
130 |
128 |
$16K |
| 95807 |
|
40 |
39 |
$15K |
| 12013 |
|
42 |
42 |
$15K |
| P9016 |
Rbc leukocytes reduced |
37 |
37 |
$15K |
| 86706 |
|
2,464 |
2,419 |
$15K |
| 70498 |
|
247 |
245 |
$15K |
| D0340 |
|
292 |
292 |
$14K |
| 83520 |
|
1,498 |
1,494 |
$14K |
| 86301 |
|
1,005 |
707 |
$14K |
| 83516 |
|
1,044 |
943 |
$14K |
| J1626 |
Granisetron hcl injection |
3,905 |
2,093 |
$14K |
| 75574 |
|
102 |
87 |
$14K |
| 87070 |
|
4,419 |
4,322 |
$14K |
| 12051 |
|
28 |
28 |
$14K |
| J0401 |
Inj, abilify maintena, 1 mg |
12 |
12 |
$14K |
| 86140 |
|
7,254 |
7,012 |
$13K |
| D8080 |
|
15 |
15 |
$13K |
| D1354 |
|
795 |
288 |
$13K |
| C1889 |
Implant/insert device, noc |
159 |
155 |
$13K |
| 43242 |
|
12 |
12 |
$13K |
| G0010 |
Admin hepatitis b vaccine |
856 |
851 |
$13K |
| 74018 |
|
2,595 |
2,540 |
$12K |
| 86704 |
|
2,166 |
2,122 |
$12K |
| 73562 |
|
1,904 |
1,833 |
$12K |
| 77295 |
|
58 |
56 |
$12K |
| 92567 |
|
348 |
348 |
$12K |
| J3489 |
Zoledronic acid 1mg |
183 |
180 |
$12K |
| 84402 |
|
573 |
573 |
$12K |
| 73130 |
|
2,024 |
1,966 |
$11K |
| 86376 |
|
1,036 |
947 |
$11K |
| 74240 |
|
79 |
78 |
$11K |
| 73610 |
|
2,023 |
1,943 |
$11K |
| 62270 |
|
19 |
13 |
$11K |
| 78306 |
|
54 |
53 |
$11K |
| 73110 |
|
2,008 |
1,938 |
$10K |
| 97164 |
|
198 |
172 |
$10K |
| 88300 |
|
1,022 |
1,002 |
$10K |
| 73630 |
|
1,990 |
1,919 |
$10K |
| 84100 |
|
9,011 |
8,798 |
$10K |
| J7307 |
Etonogestrel implant system |
12 |
12 |
$10K |
| 96368 |
|
722 |
499 |
$10K |
| 72100 |
|
692 |
638 |
$10K |
| 82805 |
|
1,902 |
1,840 |
$10K |
| 25605 |
|
24 |
24 |
$10K |
| 99383 |
|
84 |
84 |
$10K |
| 54300 |
|
80 |
80 |
$10K |
| 95806 |
|
178 |
178 |
$9K |
| 59840 |
|
13 |
13 |
$9K |
| 82627 |
|
489 |
489 |
$9K |
| 82565 |
|
2,095 |
1,868 |
$9K |
| Q5101 |
Injection, zarxio |
53 |
26 |
$9K |
| 72141 |
|
37 |
37 |
$9K |
| 85044 |
|
6,485 |
5,834 |
$9K |
| 10005 |
|
13 |
13 |
$9K |
| 73030 |
|
1,555 |
1,503 |
$8K |
| 84305 |
|
574 |
573 |
$8K |
| A4648 |
Implantable tissue marker |
476 |
473 |
$8K |
| J1100 |
Dexamethasone sodium phos |
14,562 |
10,741 |
$8K |
| B4083 |
Enteral stomach tube levine |
1,055 |
1,049 |
$8K |
| 24640 |
|
25 |
25 |
$8K |
| Q0091 |
Obtaining screen pap smear |
576 |
576 |
$8K |
| 86787 |
|
1,253 |
1,238 |
$8K |
| 57425 |
|
12 |
12 |
$8K |
| 76805 |
|
67 |
67 |
$7K |
| 81001 |
|
7,776 |
7,468 |
$7K |
| 87507 |
|
56 |
56 |
$7K |
| 87184 |
|
3,420 |
3,339 |
$7K |
| 88173 |
|
310 |
307 |
$7K |
| 84481 |
|
2,031 |
1,990 |
$7K |
| 82947 |
|
1,820 |
1,731 |
$7K |
| J1050 |
Medroxyprogesterone acetate |
116 |
116 |
$7K |
| 76604 |
|
99 |
98 |
$7K |
| 73560 |
|
646 |
617 |
$7K |
| 72170 |
|
1,157 |
1,109 |
$7K |
| 74178 |
|
25 |
24 |
$7K |
| G0108 |
Diab manage trn per indiv |
136 |
134 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
23,490 |
12,860 |
$7K |
| D1206 |
|
391 |
391 |
$7K |
| 85651 |
|
6,029 |
5,827 |
$6K |
| 84480 |
|
1,175 |
1,150 |
$6K |
| 90732 |
|
92 |
90 |
$6K |
| C1760 |
Closure dev, vasc |
192 |
187 |
$6K |
| 82977 |
|
1,775 |
1,697 |
$6K |
| 26720 |
|
12 |
12 |
$6K |
| 87634 |
|
682 |
673 |
$6K |
| G0297 |
Ldct for lung ca screen |
38 |
38 |
$6K |
| 82043 |
|
1,636 |
1,631 |
$6K |
| D9430 |
|
302 |
296 |
$6K |
| 73590 |
|
1,851 |
1,802 |
$6K |
| 76830 |
|
47 |
42 |
$6K |
| 73620 |
|
833 |
818 |
$6K |
| D2335 |
|
29 |
29 |
$6K |
| 93299 |
|
509 |
508 |
$6K |
| 69210 |
|
36 |
36 |
$6K |
| 73120 |
|
635 |
623 |
$6K |
| 93246 |
|
37 |
37 |
$6K |
| 86038 |
|
1,221 |
1,209 |
$5K |
| D2330 |
|
54 |
53 |
$5K |
| D9230 |
|
180 |
173 |
$5K |
| 01967 |
|
12 |
12 |
$5K |
| 86360 |
|
163 |
159 |
$5K |
| 93298 |
|
200 |
199 |
$5K |
| J0131 |
Inj, acetaminophen (nos) |
13,221 |
9,344 |
$5K |
| A0425 |
Ground mileage |
633 |
600 |
$5K |
| J3490 |
Drugs unclassified injection |
2,457 |
2,135 |
$5K |
| 83030 |
|
1,427 |
1,424 |
$5K |
| 82570 |
|
2,015 |
1,885 |
$5K |
| C1894 |
Intro/sheath, non-laser |
1,807 |
1,770 |
$5K |
| 90849 |
|
65 |
33 |
$5K |
| 84165 |
|
957 |
900 |
$5K |
| 88108 |
|
64 |
56 |
$5K |
| 85240 |
|
359 |
347 |
$5K |
| 86256 |
|
584 |
582 |
$5K |
| 83519 |
|
501 |
501 |
$5K |
| 71271 |
|
79 |
76 |
$5K |
| 90662 |
|
228 |
225 |
$5K |
| 97168 |
|
82 |
74 |
$5K |
| J7042 |
5% dextrose/normal saline |
1,275 |
1,257 |
$5K |
| 92587 |
|
56 |
53 |
$5K |
| G0279 |
Tomosynthesis, mammo |
536 |
511 |
$4K |
| 73090 |
|
2,056 |
1,997 |
$4K |
| 86359 |
|
163 |
159 |
$4K |
| 80320 |
|
2,692 |
2,597 |
$4K |
| 93978 |
|
12 |
12 |
$4K |
| 77332 |
|
43 |
39 |
$4K |
| 84156 |
|
2,029 |
1,883 |
$4K |
| 73080 |
|
1,592 |
1,552 |
$4K |
| C1887 |
Catheter, guiding |
854 |
835 |
$4K |
| 97165 |
|
41 |
41 |
$4K |
| 82652 |
|
266 |
266 |
$4K |
| 0072A |
|
78 |
78 |
$4K |
| 82105 |
|
690 |
629 |
$4K |
| 83690 |
|
16,473 |
15,807 |
$4K |
| 84550 |
|
2,041 |
1,910 |
$4K |
| 86160 |
|
350 |
345 |
$4K |
| 87536 |
|
78 |
77 |
$4K |
| 73600 |
|
629 |
617 |
$4K |
| 86665 |
|
455 |
451 |
$4K |
| 85379 |
|
2,668 |
2,625 |
$4K |
| 85245 |
|
179 |
177 |
$4K |
| J2930 |
Methylprednisolone injection |
607 |
503 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
6,236 |
4,335 |
$3K |
| 84436 |
|
1,293 |
1,270 |
$3K |
| 0071A |
|
110 |
110 |
$3K |
| 87880 |
|
2,211 |
2,192 |
$3K |
| 86696 |
|
185 |
185 |
$3K |
| 81003 |
|
4,649 |
4,543 |
$3K |
| D0350 |
|
273 |
273 |
$3K |
| 90743 |
|
87 |
87 |
$3K |
| 96377 |
|
173 |
130 |
$3K |
| 73502 |
|
418 |
407 |
$3K |
| 80069 |
|
380 |
380 |
$3K |
| 86695 |
|
180 |
180 |
$3K |
| J9171 |
Docetaxel injection |
20 |
13 |
$3K |
| 86870 |
|
140 |
133 |
$3K |
| 0002A |
|
188 |
187 |
$3K |
| 10061 |
|
12 |
12 |
$3K |
| 92523 |
|
13 |
13 |
$3K |
| C8908 |
Mri w/o fol w/cont, breast, |
12 |
12 |
$3K |
| 77280 |
|
14 |
14 |
$3K |
| 82533 |
|
208 |
203 |
$3K |
| Q3014 |
Telehealth facility fee |
360 |
304 |
$3K |
| 86664 |
|
455 |
451 |
$3K |
| 51701 |
|
12 |
12 |
$3K |
| 85246 |
|
165 |
164 |
$3K |
| A4627 |
Spacer bag/reservoir |
177 |
174 |
$3K |
| 74230 |
|
30 |
30 |
$3K |
| 87040 |
|
4,202 |
4,091 |
$2K |
| 74181 |
|
12 |
12 |
$2K |
| D2331 |
|
27 |
26 |
$2K |
| C1874 |
Stent, coated/cov w/del sys |
25 |
25 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
307 |
299 |
$2K |
| 0001A |
|
172 |
172 |
$2K |
| 84144 |
|
115 |
111 |
$2K |
| 86225 |
|
447 |
439 |
$2K |
| 86255 |
|
370 |
350 |
$2K |
| J3420 |
Vitamin b12 injection |
1,053 |
884 |
$2K |
| 86800 |
|
225 |
223 |
$2K |
| 73552 |
|
536 |
524 |
$2K |
| 96376 |
|
2,634 |
2,556 |
$2K |
| 73060 |
|
889 |
878 |
$2K |
| 76801 |
|
14 |
14 |
$2K |
| 82550 |
|
1,895 |
1,854 |
$2K |
| 73700 |
|
12 |
12 |
$2K |
| 99152 |
|
1,198 |
1,171 |
$2K |
| 93282 |
|
26 |
26 |
$2K |
| C1758 |
Catheter, ureteral |
715 |
688 |
$2K |
| 87563 |
|
65 |
63 |
$2K |
| J8540 |
Oral dexamethasone |
1,177 |
1,101 |
$2K |
| C1725 |
Cath, translumin non-laser |
45 |
44 |
$1K |
| 85250 |
|
31 |
31 |
$1K |
| 90688 |
|
233 |
233 |
$1K |
| 83883 |
|
173 |
167 |
$1K |
| 97035 |
|
143 |
84 |
$1K |
| 29125 |
|
12 |
12 |
$1K |
| 82247 |
|
355 |
285 |
$1K |
| C1773 |
Ret dev, insertable |
208 |
206 |
$1K |
| S0028 |
Injection, famotidine, 20 mg |
3,040 |
2,496 |
$1K |
| J2710 |
Neostigmine methylslfte inj |
5,571 |
2,927 |
$1K |
| 90675 |
|
28 |
12 |
$1K |
| 96167 |
|
12 |
12 |
$1K |
| 85045 |
|
1,225 |
1,208 |
$1K |
| 86707 |
|
196 |
195 |
$1K |
| 82150 |
|
755 |
730 |
$1K |
| 77417 |
|
133 |
60 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
10,008 |
9,341 |
$1K |
| 92555 |
|
35 |
35 |
$1K |
| 76813 |
|
14 |
14 |
$1K |
| 0296T |
|
12 |
12 |
$1K |
| 99384 |
|
14 |
14 |
$1K |
| 83498 |
|
52 |
52 |
$1K |
| 87517 |
|
27 |
26 |
$1K |
| J2405 |
Ondansetron hcl injection |
19,950 |
16,231 |
$1K |
| 86708 |
|
166 |
165 |
$1K |
| 92588 |
|
13 |
13 |
$1K |
| 86235 |
|
89 |
70 |
$1K |
| 88720 |
|
283 |
239 |
$992.06 |
| 92611 |
|
12 |
12 |
$972.08 |
| 76376 |
|
138 |
134 |
$969.52 |
| 85280 |
|
40 |
40 |
$904.73 |
| 73140 |
|
98 |
97 |
$875.52 |
| 0003A |
|
21 |
21 |
$870.36 |
| 73100 |
|
58 |
57 |
$862.06 |
| J3010 |
Fentanyl citrate injection |
10,255 |
9,523 |
$824.68 |
| 99354 |
|
17 |
16 |
$800.93 |
| 80164 |
|
315 |
309 |
$759.43 |
| 88311 |
|
51 |
51 |
$758.29 |
| 70360 |
|
157 |
156 |
$741.44 |
| J0690 |
Cefazolin sodium injection |
6,137 |
5,512 |
$736.87 |
| J2270 |
Morphine sulfate injection |
9,025 |
8,757 |
$734.48 |
| J3475 |
Inj magnesium sulfate |
1,757 |
1,439 |
$719.04 |
| 72082 |
|
27 |
27 |
$708.36 |
| J0280 |
Aminophyllin 250 mg inj |
275 |
275 |
$654.68 |
| 97018 |
|
235 |
95 |
$640.13 |
| 80329 |
|
1,389 |
1,364 |
$628.91 |
| J9206 |
Irinotecan injection |
27 |
12 |
$617.03 |
| 82157 |
|
26 |
26 |
$606.97 |
| 86431 |
|
183 |
182 |
$606.53 |
| A4614 |
Hand-held pefr meter |
61 |
60 |
$605.74 |
| 87075 |
|
342 |
331 |
$605.26 |
| 81404 |
|
28 |
28 |
$586.60 |
| A7015 |
Aerosol mask used w nebulize |
139 |
133 |
$577.26 |
| 86922 |
|
18 |
12 |
$564.89 |
| 90671 |
|
33 |
33 |
$527.17 |
| 99153 |
Mod sedat endo service >5yrs |
571 |
556 |
$503.55 |
| J9370 |
Vincristine sulfate 1 mg inj |
60 |
37 |
$501.67 |
| 87804 |
|
20 |
19 |
$500.60 |
| 83993 |
|
44 |
44 |
$499.62 |
| 84145 |
|
474 |
466 |
$455.41 |
| D0470 |
|
13 |
13 |
$442.00 |
| 86580 |
|
56 |
56 |
$440.50 |
| 85384 |
|
195 |
179 |
$429.84 |
| C1788 |
Port, indwelling, imp |
17 |
16 |
$422.80 |
| J0694 |
Cefoxitin sodium injection |
937 |
778 |
$421.88 |
| 87493 |
|
12 |
12 |
$420.23 |
| A7016 |
Nebulizer dome & mouthpiece |
128 |
126 |
$410.90 |
| J3480 |
Inj potassium chloride |
699 |
515 |
$389.85 |
| J1885 |
Ketorolac tromethamine inj |
23,507 |
13,442 |
$380.12 |
| G0399 |
Home sleep test/type 3 porta |
12 |
12 |
$379.56 |
| J0696 |
Ceftriaxone sodium injection |
3,981 |
3,114 |
$365.91 |
| 88333 |
|
12 |
12 |
$355.53 |
| 90473 |
|
46 |
46 |
$347.50 |
| 87420 |
|
57 |
57 |
$346.08 |
| 87102 |
|
66 |
65 |
$342.34 |
| 90744 |
|
42 |
42 |
$336.89 |
| J7040 |
Normal saline solution infus |
28 |
26 |
$335.42 |
| 99024 |
|
927 |
821 |
$330.08 |
| 87205 |
|
368 |
356 |
$321.93 |
| Q9962 |
Hocm 300-349mg/ml iodine,1ml |
100 |
74 |
$309.60 |
| J0330 |
Succinycholine chloride inj |
1,790 |
925 |
$306.44 |
| 90672 |
|
61 |
61 |
$304.52 |
| 94618 |
|
26 |
26 |
$293.49 |
| 85613 |
|
65 |
63 |
$290.31 |
| 80178 |
|
151 |
148 |
$277.19 |
| 74019 |
|
150 |
147 |
$264.31 |
| D0270 |
|
38 |
38 |
$261.53 |
| 85270 |
|
13 |
12 |
$245.02 |
| 82785 |
|
25 |
25 |
$241.99 |
| 80050 |
|
12 |
12 |
$240.82 |
| 90685 |
|
103 |
103 |
$214.20 |
| A9503 |
Tc99m medronate |
13 |
12 |
$209.46 |
| 73000 |
|
25 |
25 |
$195.53 |
| 87338 |
|
31 |
31 |
$192.45 |
| 86709 |
|
41 |
40 |
$182.76 |
| 73070 |
|
73 |
68 |
$177.42 |
| 87116 |
|
55 |
55 |
$170.69 |
| 91307 |
|
215 |
199 |
$168.73 |
| 86618 |
|
14 |
14 |
$168.26 |
| 81005 |
|
165 |
162 |
$165.05 |
| J2370 |
Phenylephrine hcl injection |
308 |
242 |
$159.65 |
| 82948 |
|
2,454 |
2,070 |
$159.46 |
| 84520 |
|
39 |
38 |
$157.97 |
| A4649 |
Surgical supplies |
1,618 |
1,601 |
$153.82 |
| 90381 |
|
15 |
15 |
$150.68 |
| 72040 |
|
13 |
12 |
$150.15 |
| 86334 |
|
12 |
12 |
$138.51 |
| 86765 |
|
12 |
12 |
$128.03 |
| 82272 |
|
53 |
51 |
$123.87 |
| J1580 |
Garamycin gentamicin inj |
519 |
492 |
$123.21 |
| 94761 |
|
30 |
27 |
$122.52 |
| 88302 |
|
30 |
30 |
$116.06 |
| 86694 |
|
12 |
12 |
$115.33 |
| J0171 |
Adrenalin epinephrine inject |
610 |
382 |
$111.67 |
| J1631 |
Haloperidol decanoate inj |
81 |
76 |
$97.95 |
| C9113 |
Inj pantoprazole sodium, via |
91 |
89 |
$89.60 |
| 82985 |
|
12 |
12 |
$78.86 |
| J3370 |
Vancomycin hcl injection |
203 |
160 |
$70.81 |
| 87206 |
|
41 |
41 |
$69.35 |
| 72070 |
|
15 |
12 |
$65.38 |
| 87350 |
|
14 |
14 |
$61.34 |
| 87045 |
|
24 |
24 |
$59.46 |
| A4570 |
Splint |
560 |
556 |
$58.62 |
| 92579 |
|
13 |
13 |
$54.20 |
| J2765 |
Metoclopramide hcl injection |
2,830 |
2,744 |
$51.57 |
| J7613 |
Albuterol non-comp unit |
2,733 |
2,526 |
$50.90 |
| 83550 |
|
12 |
12 |
$40.64 |
| 86593 |
|
14 |
14 |
$39.10 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
120 |
61 |
$35.90 |
| 87177 |
|
12 |
12 |
$35.60 |
| J7620 |
Albuterol ipratrop non-comp |
990 |
971 |
$29.54 |
| J1790 |
Droperidol injection |
208 |
200 |
$28.76 |
| 93284 |
|
13 |
12 |
$28.69 |
| J7644 |
Ipratropium bromide non-comp |
1,745 |
1,653 |
$27.83 |
| 89051 |
|
28 |
27 |
$25.20 |
| S0020 |
Injection, bupivicaine hydro |
178 |
178 |
$24.85 |
| J7510 |
Prednisolone oral per 5 mg |
100 |
98 |
$21.23 |
| J1940 |
Furosemide injection |
45 |
36 |
$18.98 |
| A6455 |
Self-adher band >=5"/yd |
192 |
190 |
$17.14 |
| J7999 |
Compounded drug, noc |
137 |
137 |
$16.00 |
| 80156 |
|
12 |
12 |
$14.57 |
| J1170 |
Hydromorphone injection |
55 |
55 |
$12.07 |
| J2001 |
Lidocaine injection |
825 |
698 |
$9.53 |
| Q9960 |
Hocm 200-249mg/ml iodine,1ml |
659 |
506 |
$8.72 |
| A4616 |
Tubing (oxygen) per foot |
111 |
106 |
$8.43 |
| J2795 |
Ropivacaine hcl injection |
341 |
323 |
$8.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
74 |
60 |
$7.84 |
| 82010 |
|
131 |
124 |
$7.68 |
| J2060 |
Lorazepam injection |
277 |
268 |
$7.58 |
| J7512 |
Prednisone ir or dr oral 1mg |
283 |
258 |
$7.42 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,347 |
1,301 |
$6.44 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
164 |
164 |
$6.44 |
| J2599 |
Inj vasopressin (am reg) 1 u |
12 |
12 |
$5.80 |
| 91300 |
|
289 |
267 |
$3.96 |
| 86710 |
|
79 |
79 |
$2.38 |
| J1836 |
Inj, metronidazole, 10 mg |
156 |
154 |
$0.13 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
92 |
92 |
$0.06 |
| 99080 |
|
2,563 |
529 |
$0.00 |
| S0030 |
Injection, metronidazole |
69 |
69 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
53 |
50 |
$0.00 |
| 99499 |
|
14 |
12 |
$0.00 |
| L8613 |
Ossicular implant |
14 |
14 |
$0.00 |
| 82140 |
|
15 |
14 |
$0.00 |
| A4590 |
Special casting material |
30 |
30 |
$0.00 |
| J1630 |
Haloperidol injection |
305 |
295 |
$0.00 |
| 99429 |
|
490 |
402 |
$0.00 |
| S2900 |
Robotic surgical system |
56 |
56 |
$0.00 |
| Q4050 |
Cast supplies unlisted |
14 |
13 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
71 |
52 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
92 |
92 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
52 |
25 |
$0.00 |