| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
68,438 |
63,054 |
$7.82M |
| 99284 |
|
53,602 |
48,055 |
$6.52M |
| 99285 |
|
42,576 |
37,115 |
$5.87M |
| G0463 |
Hospital outpt clinic visit |
20,874 |
16,636 |
$1.89M |
| 96361 |
|
7,227 |
5,240 |
$1.76M |
| 70450 |
|
7,710 |
6,569 |
$1.71M |
| 74177 |
|
5,183 |
4,227 |
$1.27M |
| 99282 |
|
8,720 |
8,235 |
$884K |
| 80053 |
|
96,932 |
80,582 |
$840K |
| 97530 |
|
13,994 |
4,710 |
$714K |
| G0378 |
Hospital observation per hr |
11,545 |
4,180 |
$712K |
| J9271 |
Inj pembrolizumab |
187 |
105 |
$694K |
| 92507 |
|
9,647 |
3,333 |
$680K |
| 11042 |
|
6,652 |
2,838 |
$630K |
| 97110 |
|
10,027 |
2,979 |
$585K |
| 96366 |
|
2,705 |
1,510 |
$573K |
| 74176 |
|
2,290 |
1,789 |
$517K |
| 94640 |
|
4,733 |
2,769 |
$481K |
| 95810 |
|
750 |
695 |
$459K |
| 96365 |
|
4,348 |
3,058 |
$458K |
| 96413 |
|
4,481 |
2,136 |
$387K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,026 |
1,930 |
$374K |
| 43239 |
|
1,047 |
848 |
$349K |
| 11045 |
|
932 |
410 |
$327K |
| 71275 |
|
1,460 |
1,134 |
$305K |
| G0382 |
Lev 3 hosp type b ed visit |
2,409 |
2,378 |
$215K |
| 0202U |
|
1,637 |
1,343 |
$209K |
| 95811 |
|
331 |
301 |
$190K |
| 45385 |
|
480 |
385 |
$185K |
| 93458 |
|
241 |
168 |
$183K |
| 85025 |
|
101,171 |
82,565 |
$181K |
| 97112 |
|
4,457 |
1,641 |
$163K |
| 93975 |
|
1,497 |
1,166 |
$163K |
| 93306 |
|
852 |
663 |
$161K |
| 71046 |
|
10,230 |
9,228 |
$160K |
| 70496 |
|
769 |
618 |
$149K |
| 45380 |
|
406 |
320 |
$149K |
| 78815 |
|
366 |
299 |
$149K |
| 80307 |
|
10,024 |
8,454 |
$123K |
| 96360 |
|
1,146 |
869 |
$122K |
| 84484 |
|
26,973 |
18,034 |
$121K |
| 76705 |
|
1,248 |
1,041 |
$99K |
| 80061 |
|
6,227 |
5,596 |
$97K |
| 96367 |
|
1,817 |
985 |
$92K |
| 97140 |
|
3,265 |
1,182 |
$89K |
| 71260 |
|
1,024 |
838 |
$85K |
| 84443 |
|
9,146 |
7,958 |
$85K |
| 36415 |
|
62,540 |
48,535 |
$83K |
| 29581 |
|
853 |
431 |
$83K |
| 80048 |
|
9,075 |
6,478 |
$76K |
| 71250 |
|
1,005 |
839 |
$75K |
| 70551 |
|
513 |
416 |
$72K |
| 93005 |
|
38,009 |
31,798 |
$72K |
| 87801 |
|
1,465 |
1,281 |
$70K |
| 84439 |
|
3,621 |
3,261 |
$69K |
| 87502 |
|
3,248 |
2,635 |
$68K |
| 71045 |
|
24,550 |
21,380 |
$67K |
| 94060 |
|
626 |
575 |
$65K |
| 12001 |
|
439 |
378 |
$64K |
| 76642 |
|
570 |
488 |
$64K |
| 83036 |
|
5,446 |
4,850 |
$61K |
| 93971 |
|
965 |
815 |
$60K |
| 80320 |
|
6,015 |
4,729 |
$59K |
| 71271 |
|
429 |
375 |
$58K |
| 74174 |
|
247 |
185 |
$57K |
| 77067 |
|
1,337 |
1,211 |
$56K |
| 96415 |
|
570 |
248 |
$53K |
| 70553 |
|
270 |
240 |
$51K |
| 87624 |
|
1,608 |
1,358 |
$50K |
| 88142 |
|
2,552 |
2,351 |
$49K |
| 78452 |
|
156 |
112 |
$48K |
| 82306 |
|
3,317 |
3,051 |
$45K |
| U0002 |
Covid-19 lab test non-cdc |
1,907 |
1,850 |
$45K |
| 72148 |
|
359 |
319 |
$43K |
| 82728 |
|
4,366 |
3,930 |
$42K |
| 97116 |
|
1,985 |
782 |
$41K |
| U0005 |
Infec agen detec ampli probe |
1,926 |
1,831 |
$40K |
| 83735 |
|
10,733 |
7,977 |
$40K |
| 97161 |
|
937 |
804 |
$39K |
| 81001 |
|
44,414 |
39,667 |
$39K |
| 72100 |
|
1,112 |
993 |
$36K |
| 82607 |
|
2,902 |
2,587 |
$34K |
| 59025 |
|
214 |
137 |
$33K |
| 87635 |
|
9,423 |
8,018 |
$33K |
| 82805 |
|
1,357 |
931 |
$32K |
| 70491 |
|
117 |
95 |
$31K |
| 97166 |
|
704 |
550 |
$31K |
| 85027 |
|
6,772 |
5,131 |
$30K |
| 97597 |
|
509 |
327 |
$30K |
| 83540 |
|
4,447 |
4,003 |
$28K |
| 77386 |
|
207 |
15 |
$27K |
| 96372 |
|
23,385 |
17,188 |
$27K |
| 83550 |
|
4,297 |
3,874 |
$27K |
| 86900 |
|
1,774 |
1,346 |
$27K |
| 83880 |
|
5,790 |
4,617 |
$27K |
| 94729 |
|
612 |
565 |
$27K |
| A9609 |
F18 fdg, 15 millicuries |
129 |
116 |
$27K |
| 93970 |
|
228 |
188 |
$26K |
| 73130 |
|
1,557 |
1,346 |
$24K |
| 97113 |
|
266 |
94 |
$24K |
| 72125 |
|
2,147 |
1,767 |
$24K |
| 97162 |
|
1,078 |
843 |
$24K |
| 88341 |
|
423 |
275 |
$23K |
| 96374 |
|
26,864 |
22,815 |
$22K |
| 72131 |
|
546 |
439 |
$22K |
| 80076 |
|
1,072 |
937 |
$22K |
| 85652 |
|
4,923 |
4,336 |
$22K |
| 86480 |
|
465 |
414 |
$20K |
| 76775 |
|
295 |
242 |
$19K |
| 82248 |
|
3,158 |
2,757 |
$19K |
| 73030 |
|
1,287 |
1,051 |
$19K |
| 86140 |
|
1,661 |
1,301 |
$18K |
| J1756 |
Iron sucrose injection |
348 |
139 |
$18K |
| 77336 |
|
240 |
95 |
$18K |
| 84550 |
|
2,408 |
2,131 |
$17K |
| J0500 |
Dicyclomine injection |
789 |
609 |
$17K |
| 73630 |
|
1,554 |
1,351 |
$17K |
| 88305 |
|
3,879 |
2,517 |
$17K |
| 96523 |
|
446 |
285 |
$17K |
| 76536 |
|
176 |
157 |
$16K |
| 80074 |
|
761 |
637 |
$16K |
| 82746 |
|
2,794 |
2,491 |
$16K |
| 73502 |
|
810 |
670 |
$15K |
| 90715 |
|
1,064 |
849 |
$15K |
| 73721 |
|
70 |
65 |
$14K |
| 83615 |
|
2,791 |
2,447 |
$14K |
| 93017 |
|
217 |
163 |
$14K |
| 94726 |
|
264 |
247 |
$14K |
| 83690 |
|
23,450 |
20,366 |
$13K |
| 87086 |
|
5,625 |
4,771 |
$13K |
| 82570 |
|
1,997 |
1,648 |
$13K |
| 73562 |
|
783 |
681 |
$13K |
| 87389 |
|
911 |
800 |
$13K |
| 99152 |
|
286 |
231 |
$13K |
| 96375 |
|
20,556 |
15,399 |
$12K |
| 86850 |
|
1,529 |
1,164 |
$12K |
| 70498 |
|
787 |
635 |
$12K |
| 77063 |
|
1,301 |
1,177 |
$12K |
| 95819 |
|
98 |
78 |
$12K |
| 85610 |
|
5,913 |
3,854 |
$12K |
| J1750 |
Inj iron dextran |
100 |
52 |
$12K |
| 87340 |
|
732 |
637 |
$12K |
| 12002 |
|
87 |
77 |
$11K |
| 86803 |
|
756 |
677 |
$11K |
| 86200 |
|
348 |
302 |
$11K |
| 84100 |
|
2,562 |
1,862 |
$11K |
| 88307 |
|
125 |
83 |
$11K |
| 70486 |
|
502 |
429 |
$11K |
| 83605 |
|
5,218 |
3,617 |
$11K |
| 77080 |
|
151 |
138 |
$10K |
| 74018 |
|
585 |
477 |
$10K |
| 83721 |
|
850 |
829 |
$10K |
| 84702 |
|
4,057 |
3,388 |
$9K |
| 76937 |
|
515 |
348 |
$9K |
| 99211 |
|
115 |
91 |
$9K |
| 10060 |
|
66 |
57 |
$8K |
| 76817 |
|
513 |
385 |
$8K |
| 82962 |
|
7,479 |
3,638 |
$8K |
| 96376 |
|
3,634 |
1,883 |
$8K |
| 87491 |
|
1,393 |
1,182 |
$8K |
| 97535 |
|
568 |
319 |
$8K |
| 80329 |
|
3,094 |
2,548 |
$8K |
| 81003 |
|
6,448 |
5,253 |
$8K |
| 87804 |
|
6,737 |
3,212 |
$8K |
| 73560 |
|
388 |
313 |
$8K |
| 86430 |
|
520 |
445 |
$7K |
| 94727 |
|
148 |
138 |
$7K |
| 92523 |
|
104 |
83 |
$7K |
| 41899 |
|
15 |
15 |
$7K |
| 83516 |
|
347 |
264 |
$7K |
| 73610 |
|
1,223 |
1,061 |
$7K |
| 86038 |
|
459 |
397 |
$7K |
| 73110 |
|
806 |
692 |
$7K |
| 86160 |
|
392 |
166 |
$7K |
| 12011 |
|
43 |
41 |
$6K |
| 73564 |
|
609 |
520 |
$6K |
| 84156 |
|
1,519 |
1,229 |
$6K |
| 88342 |
|
1,351 |
1,015 |
$6K |
| 88184 |
|
89 |
82 |
$6K |
| 72040 |
|
173 |
141 |
$6K |
| P9016 |
Rbc leukocytes reduced |
44 |
28 |
$6K |
| 86708 |
|
237 |
209 |
$6K |
| 77066 |
Tomosynthesis, mammo |
232 |
202 |
$6K |
| 72050 |
|
76 |
68 |
$6K |
| 85730 |
|
2,373 |
1,768 |
$6K |
| 96417 |
|
818 |
371 |
$6K |
| 94150 |
|
260 |
111 |
$6K |
| 82565 |
|
822 |
676 |
$6K |
| 36430 |
|
76 |
52 |
$5K |
| 72141 |
|
58 |
53 |
$5K |
| 97016 |
|
223 |
69 |
$5K |
| 72128 |
|
244 |
195 |
$5K |
| 86901 |
|
1,772 |
1,346 |
$5K |
| 76830 |
|
382 |
313 |
$5K |
| J2469 |
Palonosetron hcl |
1,037 |
442 |
$4K |
| 82550 |
|
2,608 |
2,204 |
$4K |
| 82043 |
|
577 |
523 |
$4K |
| 86592 |
|
183 |
162 |
$4K |
| J3490 |
Drugs unclassified injection |
402 |
163 |
$4K |
| 36591 |
|
301 |
167 |
$4K |
| 73080 |
|
362 |
311 |
$4K |
| 77065 |
Tomosynthesis, mammo |
160 |
119 |
$4K |
| G0279 |
Tomosynthesis, mammo |
527 |
465 |
$4K |
| 87591 |
|
1,384 |
1,181 |
$4K |
| 83970 |
|
119 |
103 |
$4K |
| 99213 |
|
36 |
29 |
$4K |
| 82784 |
|
404 |
267 |
$4K |
| 87186 |
|
1,538 |
1,197 |
$4K |
| 85045 |
|
999 |
864 |
$4K |
| 84153 |
|
356 |
302 |
$4K |
| 76882 |
|
33 |
24 |
$4K |
| 87651 |
|
78 |
62 |
$3K |
| 84703 |
|
5,723 |
5,061 |
$3K |
| 86706 |
|
225 |
178 |
$3K |
| 86780 |
|
256 |
216 |
$3K |
| G0123 |
Screen cerv/vag thin layer |
242 |
231 |
$3K |
| 71101 |
|
313 |
271 |
$3K |
| 82040 |
|
620 |
548 |
$3K |
| 87070 |
|
887 |
673 |
$3K |
| 84145 |
|
873 |
619 |
$3K |
| J1650 |
Inj enoxaparin sodium |
4,532 |
1,716 |
$2K |
| 94664 |
|
743 |
510 |
$2K |
| 84460 |
|
238 |
200 |
$2K |
| 84165 |
|
400 |
326 |
$2K |
| 81025 |
|
6,068 |
4,977 |
$2K |
| 72170 |
|
413 |
318 |
$2K |
| 87077 |
|
1,956 |
1,489 |
$2K |
| 84630 |
|
123 |
108 |
$2K |
| 76000 |
|
20 |
14 |
$2K |
| 73221 |
|
12 |
12 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
61 |
43 |
$2K |
| 97605 |
|
132 |
52 |
$2K |
| 87081 |
|
3,092 |
2,665 |
$2K |
| 00731 |
|
788 |
623 |
$2K |
| 88304 |
|
374 |
260 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
45 |
43 |
$2K |
| 94618 |
|
29 |
26 |
$2K |
| 11719 |
|
183 |
158 |
$2K |
| 87075 |
|
592 |
445 |
$2K |
| 90471 |
|
1,152 |
900 |
$2K |
| 85379 |
|
1,535 |
1,199 |
$2K |
| J2270 |
Morphine sulfate injection |
4,265 |
2,744 |
$2K |
| 86922 |
|
108 |
55 |
$1K |
| 85007 |
|
1,076 |
718 |
$1K |
| 84481 |
|
77 |
65 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12,518 |
10,295 |
$1K |
| 84155 |
|
447 |
365 |
$1K |
| 86704 |
|
160 |
134 |
$1K |
| 85018 |
|
505 |
290 |
$1K |
| 73590 |
|
370 |
312 |
$1K |
| 73090 |
|
266 |
240 |
$1K |
| 84450 |
|
154 |
129 |
$1K |
| 87430 |
|
2,984 |
2,524 |
$997.89 |
| 80069 |
|
99 |
92 |
$978.47 |
| 94761 |
|
10,090 |
5,039 |
$975.61 |
| J1170 |
Hydromorphone injection |
2,628 |
1,263 |
$956.73 |
| 87040 |
|
1,915 |
958 |
$939.87 |
| 86141 |
|
56 |
40 |
$917.57 |
| 84112 |
|
26 |
25 |
$914.64 |
| 72072 |
|
27 |
24 |
$905.11 |
| J1885 |
Ketorolac tromethamine inj |
15,920 |
13,066 |
$898.70 |
| J1453 |
Fosaprepitant injection |
94 |
53 |
$890.24 |
| J1642 |
Inj heparin sodium per 10 u |
4,439 |
2,092 |
$887.02 |
| 82140 |
|
125 |
79 |
$869.50 |
| 87880 |
|
306 |
289 |
$849.50 |
| 92610 |
|
21 |
15 |
$838.24 |
| 96368 |
|
581 |
301 |
$815.69 |
| J3420 |
Vitamin b12 injection |
466 |
304 |
$758.52 |
| 84520 |
|
111 |
89 |
$723.15 |
| A9552 |
F18 fdg |
209 |
158 |
$712.00 |
| J0702 |
Betamethasone acet&sod phosp |
58 |
27 |
$709.52 |
| 80164 |
|
61 |
49 |
$685.14 |
| 76801 |
|
91 |
81 |
$681.07 |
| 83883 |
|
93 |
42 |
$649.56 |
| 72110 |
|
18 |
14 |
$531.14 |
| 85014 |
|
341 |
184 |
$512.40 |
| 87210 |
|
544 |
455 |
$512.05 |
| 83655 |
|
15 |
14 |
$495.30 |
| 87088 |
|
295 |
247 |
$474.55 |
| 73060 |
|
60 |
52 |
$463.69 |
| 72070 |
|
19 |
14 |
$416.63 |
| 85613 |
|
54 |
43 |
$405.18 |
| 82785 |
|
25 |
24 |
$405.12 |
| J7030 |
Normal saline solution infus |
2,537 |
1,955 |
$383.85 |
| 86431 |
|
49 |
49 |
$365.94 |
| 84154 |
|
18 |
12 |
$336.46 |
| J9045 |
Carboplatin injection |
43 |
14 |
$333.04 |
| J2405 |
Ondansetron hcl injection |
13,997 |
10,138 |
$319.39 |
| 76870 |
|
77 |
51 |
$315.69 |
| 84425 |
|
13 |
13 |
$309.28 |
| J7050 |
Normal saline solution infus |
777 |
369 |
$304.72 |
| 73552 |
|
17 |
13 |
$302.05 |
| 00840 |
|
292 |
189 |
$301.56 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
208 |
134 |
$294.40 |
| 82010 |
|
444 |
311 |
$276.90 |
| J3475 |
Inj magnesium sulfate |
1,337 |
705 |
$258.26 |
| J2543 |
Piperacillin/tazobactam |
107 |
27 |
$245.39 |
| J3010 |
Fentanyl citrate injection |
5,230 |
3,226 |
$235.32 |
| C1769 |
Guide wire |
1,053 |
744 |
$235.25 |
| J0690 |
Cefazolin sodium injection |
2,714 |
1,385 |
$234.78 |
| J1953 |
Levetiracetam injection |
79 |
54 |
$232.73 |
| J2704 |
Inj, propofol, 10 mg |
7,809 |
4,527 |
$232.16 |
| J8540 |
Oral dexamethasone |
850 |
650 |
$221.67 |
| J1644 |
Inj heparin sodium per 1000u |
1,937 |
782 |
$197.23 |
| J0780 |
Prochlorperazine injection |
717 |
530 |
$183.73 |
| J2785 |
Regadenoson injection |
118 |
80 |
$183.45 |
| C1894 |
Intro/sheath, non-laser |
1,011 |
715 |
$182.86 |
| 86300 |
|
14 |
14 |
$177.43 |
| 87661 |
|
12 |
12 |
$170.72 |
| J1200 |
Diphenhydramine hcl injectio |
3,341 |
2,084 |
$168.82 |
| 86593 |
|
42 |
40 |
$158.84 |
| C9399 |
Unclassified drugs or biolog |
74 |
58 |
$156.06 |
| J1456 |
Inj, fosaprepitant (teva) |
32 |
12 |
$152.02 |
| J2360 |
Orphenadrine injection |
256 |
204 |
$151.46 |
| 86039 |
|
26 |
25 |
$143.48 |
| J2550 |
Promethazine hcl injection |
769 |
505 |
$142.73 |
| 86812 |
|
17 |
15 |
$139.04 |
| 82947 |
|
67 |
41 |
$137.27 |
| J2060 |
Lorazepam injection |
946 |
655 |
$127.81 |
| J1100 |
Dexamethasone sodium phos |
6,744 |
4,156 |
$123.80 |
| 87205 |
|
96 |
80 |
$121.77 |
| 80143 |
|
212 |
193 |
$119.80 |
| J3480 |
Inj potassium chloride |
455 |
173 |
$118.62 |
| 83521 |
|
19 |
12 |
$109.99 |
| 82105 |
|
12 |
12 |
$109.01 |
| J0696 |
Ceftriaxone sodium injection |
1,732 |
1,153 |
$92.88 |
| 82525 |
|
21 |
13 |
$90.56 |
| J3370 |
Vancomycin hcl injection |
414 |
203 |
$84.60 |
| J2930 |
Methylprednisolone injection |
600 |
377 |
$81.75 |
| 80179 |
|
212 |
193 |
$79.30 |
| 51798 |
|
78 |
52 |
$76.56 |
| 87634 |
|
81 |
69 |
$72.14 |
| 83010 |
|
29 |
25 |
$70.34 |
| 86317 |
|
14 |
12 |
$67.26 |
| J7120 |
Ringers lactate infusion |
749 |
512 |
$63.80 |
| 29125 |
|
61 |
52 |
$61.91 |
| J2919 |
Inj, methylpred sod succ 5mg |
302 |
209 |
$61.37 |
| J2765 |
Metoclopramide hcl injection |
1,179 |
821 |
$54.86 |
| G0480 |
Drug test def 1-7 classes |
90 |
61 |
$53.62 |
| C9113 |
Inj pantoprazole sodium, via |
126 |
75 |
$44.64 |
| J1790 |
Droperidol injection |
484 |
388 |
$44.08 |
| J2250 |
Inj midazolam hydrochloride |
2,474 |
1,730 |
$41.32 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
927 |
672 |
$36.51 |
| J2920 |
Methylprednisolone injection |
131 |
67 |
$34.56 |
| 00813 |
|
226 |
183 |
$34.39 |
| J1630 |
Haloperidol injection |
386 |
270 |
$31.96 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
502 |
311 |
$21.28 |
| J2470 |
Inj pantoprazole sodium 40mg |
236 |
179 |
$17.83 |
| J2272 |
Inj, morphine (fresenius) |
54 |
46 |
$12.35 |
| J0360 |
Hydralazine hcl injection |
40 |
27 |
$12.01 |
| 82378 |
|
13 |
12 |
$11.28 |
| J1940 |
Furosemide injection |
222 |
99 |
$10.60 |
| J2001 |
Lidocaine injection |
2,145 |
1,598 |
$8.87 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
16 |
13 |
$6.42 |
| 36416 |
|
799 |
430 |
$5.69 |
| Q0162 |
Ondansetron oral |
184 |
159 |
$5.25 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
257 |
123 |
$4.29 |
| J2370 |
Phenylephrine hcl injection |
138 |
66 |
$3.34 |
| J0330 |
Succinycholine chloride inj |
79 |
61 |
$1.95 |
| A9577 |
Inj multihance |
90 |
73 |
$1.84 |
| J2305 |
Inj, nitroglycerin, 5 mg |
12 |
12 |
$1.44 |
| J7620 |
Albuterol ipratrop non-comp |
29 |
27 |
$0.31 |
| 76376 |
|
315 |
154 |
$0.00 |
| 00812 |
|
120 |
87 |
$0.00 |
| 01810 |
|
21 |
12 |
$0.00 |
| C1729 |
Cath, drainage |
42 |
25 |
$0.00 |
| 00811 |
|
57 |
39 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
21 |
13 |
$0.00 |
| C1887 |
Catheter, guiding |
18 |
13 |
$0.00 |
| 43249 |
|
14 |
14 |
$0.00 |
| C1776 |
Joint device (implantable) |
45 |
27 |
$0.00 |
| 00170 |
|
24 |
24 |
$0.00 |
| J7040 |
Normal saline solution infus |
16 |
14 |
$0.00 |
| C1889 |
Implant/insert device, noc |
65 |
43 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
532 |
459 |
$0.00 |
| 00790 |
|
59 |
39 |
$0.00 |
| A9500 |
Tc99m sestamibi |
178 |
131 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
128 |
120 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
65 |
41 |
$0.00 |
| G0379 |
Direct refer hospital observ |
14 |
12 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
19 |
15 |
$0.00 |
| 00952 |
|
18 |
12 |
$0.00 |