| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
74,519 |
69,016 |
$37.10M |
| 99283 |
|
84,063 |
78,848 |
$27.02M |
| 99213 |
|
393,234 |
354,406 |
$13.67M |
| J1745 |
Infliximab not biosimil 10mg |
1,309 |
1,067 |
$13.23M |
| 99285 |
|
9,992 |
8,647 |
$6.62M |
| 99282 |
|
22,581 |
21,472 |
$3.80M |
| G0463 |
Hospital outpt clinic visit |
103,789 |
92,574 |
$3.18M |
| J0585 |
Injection,onabotulinumtoxina |
1,556 |
1,500 |
$2.44M |
| J0475 |
Baclofen 10 mg injection |
1,302 |
1,227 |
$1.69M |
| 87636 |
|
7,974 |
6,952 |
$1.24M |
| 0240U |
|
6,215 |
5,717 |
$1.14M |
| 80053 |
|
137,945 |
110,350 |
$1.13M |
| J2323 |
Natalizumab injection |
462 |
439 |
$1.11M |
| 85025 |
|
156,453 |
124,900 |
$1.11M |
| 87591 |
|
34,806 |
31,090 |
$970K |
| 87491 |
|
34,774 |
31,077 |
$968K |
| J3490 |
Drugs unclassified injection |
62,374 |
25,438 |
$838K |
| 76816 |
|
9,054 |
8,295 |
$802K |
| 0241U |
|
4,130 |
4,037 |
$801K |
| 87635 |
|
15,411 |
13,982 |
$741K |
| G0378 |
Hospital observation per hr |
3,252 |
2,239 |
$716K |
| 76770 |
|
3,456 |
3,306 |
$576K |
| G0330 |
Facility svs dental rehab |
123 |
121 |
$548K |
| 87389 |
|
20,926 |
18,575 |
$544K |
| 43239 |
|
975 |
931 |
$531K |
| 84443 |
|
30,877 |
27,332 |
$483K |
| 93303 |
|
554 |
511 |
$457K |
| 82306 |
|
15,606 |
13,533 |
$424K |
| 93005 |
|
9,060 |
7,948 |
$379K |
| 88305 |
|
1,645 |
1,554 |
$348K |
| 83036 |
|
33,472 |
30,539 |
$345K |
| D0150 |
|
475 |
388 |
$313K |
| 36415 |
|
115,044 |
100,013 |
$311K |
| 80061 |
|
22,475 |
20,301 |
$291K |
| 76819 |
|
3,186 |
2,297 |
$267K |
| 71045 |
|
4,230 |
3,683 |
$253K |
| 87632 |
|
2,535 |
2,214 |
$251K |
| J1050 |
Medroxyprogesterone acetate |
3,669 |
3,518 |
$232K |
| 80307 |
|
5,407 |
4,419 |
$219K |
| 87081 |
|
29,153 |
27,215 |
$216K |
| D0220 |
|
426 |
342 |
$203K |
| 87088 |
|
24,376 |
21,304 |
$199K |
| 87426 |
|
5,522 |
4,357 |
$198K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,821 |
2,396 |
$197K |
| 82728 |
|
17,254 |
14,555 |
$193K |
| 76811 |
|
1,238 |
1,116 |
$191K |
| 87798 |
|
5,088 |
4,668 |
$189K |
| 85027 |
|
37,409 |
25,070 |
$187K |
| D0230 |
|
401 |
319 |
$185K |
| 82105 |
|
9,539 |
8,782 |
$180K |
| 62370 |
|
1,224 |
1,159 |
$176K |
| 96374 |
|
2,777 |
2,519 |
$166K |
| 96372 |
|
2,750 |
2,497 |
$165K |
| 84439 |
|
16,574 |
14,758 |
$164K |
| 64644 |
|
1,173 |
1,131 |
$161K |
| 92507 |
|
2,740 |
1,192 |
$155K |
| 96413 |
|
1,441 |
1,098 |
$154K |
| 82677 |
|
7,138 |
6,604 |
$153K |
| 92060 |
|
5,575 |
5,251 |
$152K |
| 84466 |
|
14,729 |
12,440 |
$148K |
| 93306 |
|
182 |
174 |
$145K |
| 81001 |
|
39,037 |
33,635 |
$141K |
| 69436 |
|
119 |
116 |
$133K |
| 11042 |
|
1,337 |
926 |
$131K |
| 86850 |
|
6,220 |
5,594 |
$131K |
| 93320 |
|
350 |
321 |
$127K |
| 86003 |
|
783 |
723 |
$123K |
| 86336 |
|
7,140 |
6,608 |
$118K |
| 59025 |
|
1,684 |
1,476 |
$116K |
| 76815 |
|
1,361 |
1,125 |
$106K |
| 82607 |
|
9,090 |
7,903 |
$103K |
| 97530 |
|
1,547 |
793 |
$102K |
| 86803 |
|
7,212 |
6,237 |
$102K |
| 86762 |
|
6,258 |
5,519 |
$100K |
| 71046 |
|
1,415 |
1,302 |
$100K |
| 87340 |
|
10,499 |
9,123 |
$99K |
| 86592 |
|
21,253 |
18,698 |
$98K |
| 93325 |
|
561 |
517 |
$97K |
| 83655 |
|
5,669 |
5,214 |
$96K |
| 88142 |
|
4,129 |
3,887 |
$92K |
| 87536 |
|
3,170 |
2,805 |
$92K |
| 92567 |
|
3,427 |
3,298 |
$89K |
| A9270 |
Non-covered item or service |
164,278 |
78,353 |
$89K |
| 82043 |
|
11,732 |
9,759 |
$86K |
| 86787 |
|
5,983 |
5,263 |
$86K |
| J1726 |
Makena, 10 mg |
133 |
75 |
$80K |
| 84702 |
|
8,635 |
7,782 |
$80K |
| 74177 |
|
97 |
87 |
$78K |
| 81025 |
|
9,829 |
9,054 |
$78K |
| 83540 |
|
14,823 |
12,565 |
$76K |
| 86140 |
|
11,420 |
9,342 |
$75K |
| 87631 |
|
840 |
824 |
$74K |
| 87070 |
|
6,927 |
6,080 |
$73K |
| 54161 |
|
80 |
66 |
$72K |
| 87507 |
|
420 |
380 |
$71K |
| 92523 |
|
615 |
577 |
$70K |
| J7050 |
Normal saline solution infus |
11,514 |
5,810 |
$69K |
| 72082 |
|
699 |
654 |
$67K |
| 81220 |
|
150 |
147 |
$63K |
| 82947 |
|
11,478 |
10,163 |
$63K |
| J7120 |
Ringers lactate infusion |
6,989 |
6,009 |
$61K |
| 64645 |
|
638 |
605 |
$60K |
| 87486 |
|
2,539 |
2,216 |
$60K |
| 92610 |
|
704 |
655 |
$59K |
| 95873 |
|
663 |
647 |
$56K |
| 81003 |
|
18,433 |
15,598 |
$55K |
| 90870 |
|
120 |
66 |
$54K |
| G0108 |
Diab manage trn per indiv |
1,094 |
997 |
$54K |
| 80069 |
|
6,856 |
4,771 |
$51K |
| 55175 |
|
70 |
65 |
$50K |
| 80048 |
|
18,211 |
8,441 |
$49K |
| Q3014 |
Telehealth facility fee |
4,304 |
3,791 |
$49K |
| 0002A |
|
886 |
843 |
$49K |
| 90792 |
|
942 |
700 |
$48K |
| 87880 |
|
2,915 |
2,855 |
$48K |
| 54300 |
|
71 |
64 |
$48K |
| C9803 |
Hopd covid-19 spec collect |
1,728 |
1,414 |
$47K |
| 14040 |
|
94 |
77 |
$47K |
| 84100 |
|
21,749 |
13,190 |
$47K |
| 85652 |
|
13,256 |
11,213 |
$46K |
| 70553 |
|
81 |
80 |
$46K |
| 83516 |
|
2,868 |
2,680 |
$45K |
| 73521 |
|
556 |
534 |
$45K |
| 74018 |
|
1,077 |
972 |
$44K |
| 83735 |
|
26,222 |
12,628 |
$43K |
| 85045 |
|
8,729 |
7,283 |
$42K |
| 0001A |
|
820 |
771 |
$42K |
| G0480 |
Drug test def 1-7 classes |
1,955 |
1,413 |
$41K |
| 81229 |
|
50 |
43 |
$41K |
| 87804 |
|
2,490 |
1,481 |
$40K |
| 82784 |
|
3,521 |
3,038 |
$39K |
| 92134 |
|
3,659 |
3,493 |
$39K |
| 90471 |
|
2,536 |
2,422 |
$38K |
| 86901 |
|
5,664 |
5,095 |
$37K |
| 86900 |
|
5,652 |
5,083 |
$36K |
| 82042 |
|
6,208 |
5,827 |
$35K |
| 80197 |
|
9,173 |
6,187 |
$35K |
| 86361 |
|
1,973 |
1,711 |
$35K |
| 87077 |
|
5,488 |
4,101 |
$34K |
| 92587 |
|
431 |
412 |
$34K |
| 96361 |
|
557 |
491 |
$34K |
| 86738 |
|
2,544 |
2,220 |
$33K |
| J3010 |
Fentanyl citrate injection |
10,641 |
8,430 |
$31K |
| 92579 |
|
225 |
216 |
$31K |
| 87624 |
|
1,180 |
1,103 |
$30K |
| 97110 |
|
537 |
286 |
$30K |
| 70450 |
|
160 |
142 |
$27K |
| 96375 |
|
475 |
347 |
$27K |
| 91065 |
|
49 |
49 |
$27K |
| 86360 |
|
490 |
433 |
$25K |
| D7140 |
|
27 |
25 |
$25K |
| 96365 |
|
192 |
125 |
$24K |
| 94640 |
|
988 |
822 |
$23K |
| 84550 |
|
7,911 |
6,408 |
$23K |
| 73100 |
|
320 |
278 |
$22K |
| 90686 |
|
1,615 |
1,511 |
$22K |
| D0274 |
|
41 |
36 |
$21K |
| 99211 |
|
821 |
765 |
$21K |
| 87799 |
|
2,921 |
1,906 |
$21K |
| 80076 |
|
4,598 |
3,231 |
$21K |
| 83615 |
|
4,434 |
3,326 |
$21K |
| 91122 |
|
52 |
41 |
$20K |
| 82340 |
|
3,130 |
2,581 |
$20K |
| 82570 |
|
4,914 |
3,911 |
$19K |
| 73610 |
|
353 |
311 |
$19K |
| 87086 |
|
1,716 |
1,563 |
$19K |
| 73070 |
|
254 |
216 |
$19K |
| 80081 |
|
171 |
153 |
$18K |
| 92201 |
|
902 |
672 |
$18K |
| 87186 |
|
3,497 |
2,512 |
$17K |
| 83970 |
|
753 |
565 |
$17K |
| J7030 |
Normal saline solution infus |
2,177 |
1,695 |
$17K |
| 82746 |
|
1,524 |
1,276 |
$17K |
| 81420 |
|
25 |
24 |
$17K |
| 97803 |
|
520 |
506 |
$16K |
| 83020 |
|
936 |
850 |
$16K |
| 45380 |
|
24 |
24 |
$16K |
| 84481 |
|
866 |
790 |
$16K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,317 |
1,093 |
$16K |
| 86160 |
|
413 |
335 |
$16K |
| 87497 |
|
2,773 |
2,103 |
$16K |
| 73090 |
|
206 |
180 |
$15K |
| 87430 |
|
1,037 |
1,018 |
$15K |
| 87480 |
|
726 |
649 |
$15K |
| 87660 |
|
726 |
649 |
$15K |
| 86141 |
|
1,004 |
945 |
$15K |
| 0072A |
|
274 |
253 |
$15K |
| J0897 |
Denosumab injection |
26 |
26 |
$14K |
| 93296 |
|
681 |
667 |
$14K |
| 84403 |
|
536 |
489 |
$14K |
| 87522 |
Neg quan hep c or qual rna |
646 |
504 |
$14K |
| 86704 |
|
1,983 |
1,577 |
$14K |
| 92526 |
|
138 |
85 |
$14K |
| 86708 |
|
1,850 |
1,463 |
$14K |
| 92560 |
|
33 |
31 |
$13K |
| 36430 |
|
33 |
25 |
$13K |
| 82652 |
|
288 |
277 |
$13K |
| 84156 |
|
4,821 |
3,833 |
$13K |
| 76801 |
|
118 |
111 |
$13K |
| 76820 |
|
142 |
102 |
$12K |
| 0071A |
|
244 |
222 |
$12K |
| 67028 |
|
129 |
119 |
$12K |
| 81514 |
|
400 |
355 |
$12K |
| 73630 |
|
196 |
168 |
$12K |
| 88300 |
|
716 |
663 |
$12K |
| 83690 |
|
3,417 |
2,522 |
$12K |
| 96360 |
|
72 |
65 |
$12K |
| 89220 |
|
196 |
181 |
$11K |
| J2704 |
Inj, propofol, 10 mg |
977 |
817 |
$11K |
| 20610 |
|
161 |
150 |
$10K |
| J8540 |
Oral dexamethasone |
4,970 |
2,906 |
$10K |
| J0131 |
Inj, acetaminophen (nos) |
1,269 |
1,110 |
$10K |
| 87205 |
|
1,996 |
1,900 |
$10K |
| J8499 |
Oral prescrip drug non chemo |
3,772 |
1,827 |
$10K |
| 94010 |
|
107 |
104 |
$9K |
| 83880 |
|
978 |
644 |
$9K |
| J2919 |
Inj, methylpred sod succ 5mg |
129 |
93 |
$9K |
| Q0162 |
Ondansetron oral |
8,476 |
7,695 |
$8K |
| 92133 |
|
644 |
603 |
$8K |
| A9585 |
Gadobutrol injection |
206 |
196 |
$8K |
| 97760 |
|
99 |
67 |
$8K |
| 93886 |
|
35 |
35 |
$8K |
| 82962 |
|
2,071 |
1,850 |
$8K |
| 83525 |
|
551 |
533 |
$7K |
| J2405 |
Ondansetron hcl injection |
5,567 |
4,675 |
$7K |
| 92524 |
|
74 |
71 |
$7K |
| 83001 |
|
303 |
290 |
$7K |
| 92015 |
|
618 |
595 |
$7K |
| 27096 |
|
13 |
13 |
$7K |
| 86706 |
|
1,448 |
1,052 |
$7K |
| 87210 |
|
2,124 |
1,710 |
$7K |
| A4217 |
Sterile water/saline, 500 ml |
992 |
794 |
$7K |
| 86747 |
|
409 |
376 |
$7K |
| 86039 |
|
560 |
511 |
$7K |
| 76805 |
|
61 |
57 |
$6K |
| 82950 |
|
1,194 |
1,094 |
$6K |
| 99281 |
|
62 |
57 |
$6K |
| 96127 |
|
379 |
366 |
$6K |
| 73590 |
|
85 |
76 |
$6K |
| 92557 |
|
115 |
109 |
$6K |
| 80047 |
|
1,649 |
1,080 |
$6K |
| 76705 |
|
39 |
38 |
$6K |
| 86480 |
|
98 |
92 |
$6K |
| 92552 |
|
168 |
160 |
$6K |
| 85610 |
|
3,481 |
1,947 |
$5K |
| 92083 |
|
247 |
226 |
$5K |
| 71260 |
|
15 |
13 |
$5K |
| 86677 |
|
271 |
257 |
$4K |
| J0690 |
Cefazolin sodium injection |
2,486 |
2,077 |
$4K |
| 83921 |
|
478 |
447 |
$4K |
| 84300 |
|
843 |
688 |
$4K |
| 83002 |
|
164 |
159 |
$4K |
| 74022 |
|
58 |
52 |
$4K |
| 92558 |
|
25 |
25 |
$4K |
| 92226 |
|
95 |
65 |
$4K |
| 80050 |
|
114 |
105 |
$4K |
| 90656 |
|
180 |
176 |
$4K |
| 86709 |
|
606 |
462 |
$4K |
| 84133 |
|
816 |
662 |
$3K |
| 74230 |
|
26 |
26 |
$3K |
| 87420 |
|
189 |
160 |
$3K |
| 36591 |
|
161 |
130 |
$3K |
| 92582 |
|
39 |
37 |
$3K |
| 83883 |
|
200 |
147 |
$3K |
| 84484 |
|
1,840 |
1,055 |
$3K |
| 84436 |
|
685 |
634 |
$3K |
| J2930 |
Methylprednisolone injection |
46 |
26 |
$3K |
| 82977 |
|
478 |
417 |
$3K |
| 86334 |
|
180 |
155 |
$3K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
834 |
471 |
$3K |
| 96900 |
|
275 |
89 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,535 |
1,366 |
$3K |
| 82948 |
|
582 |
545 |
$3K |
| 73030 |
|
39 |
39 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,074 |
871 |
$2K |
| 73130 |
|
34 |
28 |
$2K |
| 93298 |
|
133 |
128 |
$2K |
| 97763 |
|
40 |
30 |
$2K |
| J9370 |
Vincristine sulfate 1 mg inj |
198 |
171 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
398 |
366 |
$2K |
| 92555 |
|
82 |
78 |
$2K |
| 97162 |
|
29 |
29 |
$2K |
| 82747 |
|
235 |
217 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
643 |
537 |
$2K |
| 0011A |
|
38 |
38 |
$2K |
| 84146 |
|
115 |
104 |
$2K |
| 0012A |
|
52 |
52 |
$2K |
| 91322 |
|
44 |
44 |
$2K |
| 29450 |
|
60 |
25 |
$2K |
| 82670 |
|
73 |
67 |
$2K |
| 76817 |
|
51 |
39 |
$2K |
| 84479 |
|
442 |
403 |
$2K |
| 87510 |
|
726 |
649 |
$2K |
| 82330 |
|
149 |
126 |
$2K |
| 82550 |
|
763 |
455 |
$2K |
| 0052A |
|
32 |
31 |
$2K |
| 93242 |
|
13 |
12 |
$2K |
| 86430 |
|
314 |
292 |
$2K |
| 77072 |
|
12 |
12 |
$2K |
| 95250 |
|
13 |
13 |
$2K |
| 83520 |
|
42 |
40 |
$2K |
| 85018 |
|
1,064 |
907 |
$2K |
| 82565 |
|
404 |
377 |
$2K |
| 90832 |
|
82 |
68 |
$2K |
| 82248 |
|
252 |
203 |
$2K |
| 73552 |
|
14 |
13 |
$1K |
| 25600 |
|
13 |
12 |
$1K |
| 86038 |
|
133 |
125 |
$1K |
| 92650 |
|
21 |
21 |
$1K |
| 86923 |
|
46 |
40 |
$1K |
| 97140 |
|
27 |
12 |
$1K |
| 86225 |
|
70 |
67 |
$1K |
| 54150 |
|
13 |
13 |
$1K |
| 73562 |
|
27 |
24 |
$1K |
| 85007 |
|
253 |
230 |
$1K |
| 31231 |
|
27 |
26 |
$1K |
| 84480 |
|
91 |
78 |
$1K |
| 84165 |
|
161 |
145 |
$1K |
| 85730 |
|
1,626 |
642 |
$1K |
| 91200 |
|
25 |
25 |
$1K |
| 36416 |
|
611 |
591 |
$1K |
| 90651 |
|
12 |
12 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
3,305 |
1,982 |
$1K |
| 92611 |
|
12 |
12 |
$1K |
| 84450 |
|
223 |
188 |
$1K |
| 82150 |
|
177 |
156 |
$1K |
| 81243 |
|
27 |
25 |
$1K |
| 86376 |
|
81 |
66 |
$1K |
| 64615 |
|
13 |
12 |
$1K |
| 82247 |
|
224 |
132 |
$1K |
| 73110 |
|
12 |
12 |
$996.49 |
| 64643 |
|
53 |
49 |
$990.10 |
| 84560 |
|
154 |
134 |
$987.78 |
| 82533 |
|
125 |
82 |
$960.16 |
| 84630 |
|
40 |
37 |
$948.38 |
| 84460 |
|
400 |
351 |
$943.66 |
| 92556 |
|
29 |
24 |
$838.68 |
| 84425 |
|
34 |
33 |
$793.80 |
| 0004A |
|
15 |
14 |
$756.38 |
| 82088 |
|
13 |
13 |
$693.16 |
| 86800 |
|
26 |
25 |
$677.86 |
| 95874 |
|
58 |
50 |
$665.37 |
| 84305 |
|
29 |
27 |
$664.54 |
| 83498 |
|
16 |
14 |
$649.32 |
| 86364 |
|
272 |
259 |
$639.72 |
| 86235 |
|
18 |
14 |
$625.52 |
| 82378 |
|
21 |
13 |
$625.21 |
| J8597 |
Antiemetic drug oral nos |
470 |
450 |
$623.87 |
| 88346 |
|
15 |
15 |
$618.80 |
| 96161 |
|
135 |
124 |
$606.53 |
| J2001 |
Lidocaine injection |
1,090 |
881 |
$599.02 |
| 96381 |
|
53 |
44 |
$598.00 |
| 90715 |
|
17 |
14 |
$530.73 |
| 97597 |
|
18 |
15 |
$522.47 |
| 84681 |
|
28 |
26 |
$519.75 |
| 90480 |
|
44 |
44 |
$502.88 |
| 84207 |
|
14 |
14 |
$455.13 |
| 31575 |
|
12 |
12 |
$429.46 |
| 86301 |
|
18 |
12 |
$417.34 |
| 83519 |
|
17 |
15 |
$384.44 |
| J2795 |
Ropivacaine hcl injection |
193 |
140 |
$384.30 |
| 84244 |
|
12 |
12 |
$345.24 |
| 85240 |
|
14 |
14 |
$334.65 |
| 86255 |
|
15 |
15 |
$323.03 |
| 83521 |
|
13 |
13 |
$318.74 |
| 96380 |
|
14 |
14 |
$317.57 |
| 86830 |
|
27 |
26 |
$294.75 |
| J0330 |
Succinycholine chloride inj |
120 |
66 |
$287.45 |
| 88720 |
|
29 |
26 |
$239.46 |
| 92136 |
|
12 |
12 |
$237.96 |
| G0103 |
Psa screening |
690 |
658 |
$217.92 |
| 87338 |
|
13 |
12 |
$215.04 |
| A0425 |
Ground mileage |
116 |
94 |
$213.45 |
| 90662 |
|
62 |
56 |
$199.48 |
| J2250 |
Inj midazolam hydrochloride |
136 |
110 |
$190.59 |
| J0688 |
Inj cefazolin sodium, hikma |
13 |
12 |
$189.05 |
| 82785 |
|
13 |
12 |
$184.68 |
| 80164 |
|
86 |
48 |
$180.53 |
| J7040 |
Normal saline solution infus |
15 |
13 |
$176.34 |
| 86831 |
|
13 |
13 |
$168.44 |
| 85014 |
|
142 |
133 |
$157.91 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
42 |
40 |
$131.55 |
| 81002 |
|
42 |
40 |
$127.60 |
| Q0091 |
Obtaining screen pap smear |
47 |
43 |
$99.72 |
| Q0111 |
Wet mounts/ w preparations |
159 |
154 |
$88.75 |
| 83605 |
|
1,196 |
574 |
$56.73 |
| 90682 |
|
15 |
15 |
$32.97 |
| 80143 |
|
122 |
114 |
$27.50 |
| 80179 |
|
116 |
108 |
$13.27 |
| G0008 |
Admin influenza virus vac |
175 |
152 |
$8.13 |
| J2060 |
Lorazepam injection |
27 |
12 |
$6.05 |
| D1206 |
|
14 |
14 |
$2.52 |
| 91300 |
|
1,044 |
954 |
$0.00 |
| 82140 |
|
81 |
55 |
$0.00 |
| A9577 |
Inj multihance |
144 |
140 |
$0.00 |
| 85384 |
|
550 |
276 |
$0.00 |
| 89051 |
|
63 |
24 |
$0.00 |
| 80202 |
|
1,208 |
258 |
$0.00 |
| 84295 |
|
37 |
29 |
$0.00 |
| 87102 |
|
43 |
26 |
$0.00 |
| 84145 |
|
56 |
25 |
$0.00 |
| 87324 |
|
22 |
13 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
12 |
12 |
$0.00 |
| 80301 |
|
33 |
33 |
$0.00 |
| 87040 |
|
1,482 |
551 |
$0.00 |
| 91301 |
|
107 |
107 |
$0.00 |
| 80329 |
|
27 |
26 |
$0.00 |
| 84132 |
|
67 |
51 |
$0.00 |
| 85379 |
|
404 |
166 |
$0.00 |
| 82803 |
|
358 |
168 |
$0.00 |
| 91307 |
|
138 |
129 |
$0.00 |
| A0426 |
Als 1 |
39 |
29 |
$0.00 |
| 84153 |
|
13 |
13 |
$0.00 |
| 91305 |
|
17 |
16 |
$0.00 |
| 80320 |
|
27 |
18 |
$0.00 |
| G1004 |
Cdsm ndsc |
160 |
123 |
$-0.01 |