Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

NPI: 1154317527 · JACKSON, MS 39216 · 282N00000X

$506.72M
Total Medicaid Paid
10,036,136
Total Claims
7,533,013
Beneficiaries
1278
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,572,285 $79.07M
2019 1,522,368 $81.63M
2020 1,257,730 $64.21M
2021 1,462,986 $74.91M
2022 1,601,732 $71.56M
2023 1,523,060 $76.33M
2024 1,095,975 $59.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 206,015 169,148 $36.16M
G0378 Hospital observation per hr 42,333 31,676 $27.38M
99283 240,282 204,376 $24.50M
99285 105,125 85,877 $24.31M
99214 355,806 311,459 $19.47M
42820 6,393 5,168 $14.18M
99213 322,995 277,959 $12.91M
J9271 Inj pembrolizumab 1,990 1,300 $12.26M
69436 10,976 9,038 $8.55M
93306 53,114 46,652 $7.62M
93303 35,653 31,098 $6.43M
86902 21,040 7,108 $6.07M
J0585 Injection,onabotulinumtoxina 7,600 6,118 $5.90M
99215 Prolong outpt/office vis 73,018 61,562 $5.37M
99469 20,497 3,739 $5.26M
99233 Prolong inpt eval add15 m 115,857 37,788 $5.16M
99472 20,840 2,997 $4.91M
70553 28,970 25,511 $4.58M
99232 131,523 47,005 $4.56M
96413 26,489 15,278 $4.44M
96374 40,792 32,299 $4.32M
99282 53,463 47,001 $3.54M
86885 47,024 33,042 $3.42M
A0431 Rotary wing air transport 1,969 1,779 $3.27M
74177 32,204 28,440 $3.11M
94640 19,235 12,652 $3.08M
94375 22,412 19,669 $3.03M
J1745 Infliximab not biosimil 10mg 1,655 1,323 $2.92M
J2323 Natalizumab injection 1,727 1,456 $2.87M
77386 12,195 973 $2.84M
99244 26,750 23,467 $2.84M
97110 84,517 21,625 $2.79M
95810 6,189 5,390 $2.77M
J2505 Injection, pegfilgrastim 6mg 1,101 765 $2.77M
99212 118,075 102,567 $2.71M
99291 22,817 8,607 $2.64M
71045 239,658 157,448 $2.62M
99211 320,888 260,363 $2.55M
99392 32,844 29,267 $2.53M
86900 47,838 33,442 $2.52M
36430 13,172 8,259 $2.51M
76820 67,811 43,117 $2.51M
99479 26,744 6,018 $2.47M
54161 2,541 2,249 $2.46M
78815 6,592 5,698 $2.42M
42830 1,515 1,145 $2.39M
99391 30,836 28,292 $2.33M
J9312 Inj., rituximab, 10 mg 916 533 $2.31M
93005 75,636 63,521 $2.28M
20680 1,668 1,283 $2.28M
76819 47,975 26,046 $2.22M
J2357 Omalizumab injection 2,292 915 $2.21M
99243 28,575 24,902 $2.13M
76811 23,485 20,103 $2.09M
96365 19,008 12,896 $2.08M
71046 77,369 64,528 $2.04M
88305 60,216 42,168 $2.02M
64642 9,411 8,008 $1.98M
80053 222,646 166,419 $1.97M
95812 15,180 13,179 $1.93M
99204 25,447 21,844 $1.90M
76770 34,387 30,375 $1.90M
P9016 Rbc leukocytes reduced 11,425 7,154 $1.87M
43239 4,931 3,744 $1.80M
96360 14,973 12,380 $1.78M
J0897 Denosumab injection 2,674 2,195 $1.73M
70450 47,485 41,068 $1.71M
87428 23,300 20,292 $1.69M
96372 43,107 32,275 $1.66M
93304 11,346 9,268 $1.64M
J9299 Injection, nivolumab 279 195 $1.58M
90460 60,503 53,804 $1.54M
71260 22,925 20,346 $1.50M
85025 256,322 185,772 $1.44M
70551 14,045 12,597 $1.41M
A0436 Rotary wing air mileage 1,964 1,773 $1.38M
87491 53,872 34,533 $1.37M
97530 38,347 11,113 $1.35M
88307 15,018 12,102 $1.34M
81229 2,919 2,516 $1.33M
87591 53,907 34,544 $1.27M
87804 82,205 39,611 $1.25M
92587 7,797 6,844 $1.19M
76816 23,757 20,359 $1.15M
90791 13,764 11,589 $1.15M
96361 26,423 20,536 $1.14M
J9035 Bevacizumab injection 723 560 $1.12M
74018 70,404 48,060 $1.12M
49580 567 480 $1.12M
U0003 Cov-19 amp prb hgh thruput 16,899 15,281 $1.11M
36415 367,472 271,260 $1.11M
95716 2,369 1,176 $1.10M
86923 15,615 6,149 $1.10M
95951 3,235 1,418 $1.07M
86922 12,464 4,563 $1.05M
90837 13,975 8,853 $1.04M
78452 2,598 2,196 $1.02M
99238 21,830 19,189 $1.02M
J0475 Baclofen 10 mg injection 1,701 1,431 $1.02M
J1951 Inj fensolvi 0.25 mg 64 40 $1.02M
80307 25,835 20,946 $1.01M
72082 16,643 14,395 $1.00M
99480 11,611 2,386 $986K
86920 11,038 4,379 $982K
95004 622 417 $927K
76705 21,666 18,639 $908K
36512 1,449 1,209 $890K
J7307 Etonogestrel implant system 1,413 1,091 $886K
45380 2,411 1,790 $884K
99203 20,615 16,592 $837K
84443 64,687 54,854 $833K
92014 15,762 13,389 $830K
99223 Prolong inpt eval add15 m 11,601 9,672 $829K
72170 16,158 14,129 $784K
86901 47,836 33,437 $778K
77077 13,431 11,685 $765K
99393 11,799 9,592 $754K
76805 11,852 9,234 $732K
87880 49,846 41,914 $720K
76825 3,186 2,502 $718K
G0480 Drug test def 1-7 classes 11,681 9,792 $709K
82306 34,227 29,585 $707K
J1459 Inj ivig privigen 500 mg 481 168 $704K
D7140 1,178 710 $659K
99205 Prolong outpt/office vis 7,172 6,024 $652K
87536 12,607 10,703 $642K
87426 17,018 14,329 $628K
99281 12,404 10,448 $626K
96375 22,979 17,018 $611K
99170 7,663 6,458 $609K
49591 284 211 $589K
94726 6,525 5,837 $589K
99202 15,847 13,954 $582K
72141 4,732 3,935 $577K
93320 36,613 31,781 $576K
73590 16,673 12,800 $572K
77412 5,127 519 $570K
72156 3,011 2,547 $568K
88342 10,489 7,688 $567K
87389 33,754 26,601 $567K
76817 10,234 7,167 $567K
76000 4,688 3,748 $566K
96367 13,004 6,426 $566K
11042 5,792 3,932 $554K
97161 11,042 9,371 $552K
73562 18,651 15,057 $545K
73610 16,472 13,378 $545K
31720 4,788 3,025 $541K
01922 5,252 4,659 $536K
J0561 Penicillin g benzathine inj 4,312 3,366 $536K
93010 117,766 97,670 $531K
95782 871 761 $527K
73630 15,470 12,562 $524K
P9040 Rbc leukoreduced irradiated 3,729 2,447 $523K
A0425 Ground mileage 2,078 1,576 $518K
G0483 Drug test def 22+ classes 4,051 3,590 $506K
90471 24,446 20,972 $504K
72158 2,555 2,142 $497K
93308 7,048 5,783 $496K
77334 1,847 1,257 $495K
80048 74,355 56,683 $493K
96415 8,834 6,022 $492K
72157 2,553 2,144 $485K
72148 3,964 3,305 $483K
66984 1,061 795 $481K
95816 5,359 4,699 $480K
87070 53,563 44,001 $457K
J9310 Rituximab injection 176 110 $452K
81025 55,030 44,310 $447K
93325 61,168 51,336 $446K
64493 1,069 930 $445K
U0004 Cov-19 test non-cdc hgh thru 7,008 6,265 $445K
74183 3,297 2,761 $439K
83036 58,452 50,850 $437K
94728 6,468 5,672 $436K
94150 3,950 2,181 $432K
73090 11,654 8,770 $430K
62323 1,587 1,398 $429K
59409 720 677 $425K
92507 11,004 3,798 $423K
80061 41,713 36,255 $422K
85027 86,769 63,624 $414K
99231 21,653 9,070 $414K
76821 8,348 5,459 $405K
83880 19,045 15,463 $402K
73552 12,847 10,453 $402K
81001 101,066 81,410 $399K
59514 646 565 $393K
77067 8,236 7,372 $387K
54640 197 146 $384K
87661 18,606 13,854 $384K
72125 8,840 7,377 $381K
86003 8,056 3,970 $380K
92579 4,375 3,970 $380K
73130 9,479 7,399 $373K
97112 17,516 5,127 $366K
97165 6,636 5,621 $365K
73030 12,793 10,570 $355K
77072 4,865 4,091 $355K
67311 181 144 $350K
70496 5,188 4,353 $347K
86870 2,693 1,642 $346K
70491 3,647 3,087 $342K
77336 5,279 2,171 $341K
43762 3,593 3,057 $341K
C1713 Anchor/screw bn/bn,tis/bn 4,747 3,475 $341K
93451 511 333 $339K
82728 35,219 27,265 $333K
01967 1,046 938 $329K
G0463 Hospital outpt clinic visit 28,166 24,923 $328K
U0005 Infec agen detec ampli probe 16,858 14,899 $327K
86360 11,675 9,942 $325K
20610 6,266 5,156 $322K
92012 7,305 6,217 $322K
77300 1,432 1,132 $320K
96366 6,391 4,343 $312K
82803 22,472 17,524 $311K
S9110 Telemonitoring/home per mnth 38,622 1,865 $311K
95720 2,545 1,389 $311K
59425 3,912 3,122 $304K
J1453 Fosaprepitant injection 2,337 1,341 $302K
00170 3,282 2,990 $300K
92060 6,809 5,923 $299K
99394 5,065 3,837 $298K
73110 7,485 5,792 $297K
A0427 Als1-emergency 1,237 1,047 $297K
71275 4,336 3,792 $293K
70498 4,868 4,079 $289K
73721 1,671 1,384 $287K
92526 6,956 2,498 $284K
73560 8,337 6,553 $284K
88184 2,148 1,353 $282K
87086 43,415 36,278 $275K
73080 6,758 5,204 $270K
76536 5,481 4,740 $270K
88175 13,967 12,340 $265K
72100 5,832 5,060 $265K
93017 2,853 2,522 $262K
84439 33,425 28,423 $262K
95811 544 495 $261K
96417 6,415 3,772 $259K
92523 2,095 1,773 $257K
93976 6,286 5,166 $256K
82947 90,920 50,266 $255K
99242 4,701 4,085 $250K
92567 13,535 11,983 $246K
95700 2,051 1,763 $245K
45378 769 676 $243K
19083 456 396 $242K
99245 2,116 1,865 $241K
90960 2,810 2,730 $239K
72197 1,198 1,007 $239K
96523 9,039 6,378 $238K
96130 2,953 2,630 $238K
70486 4,026 3,264 $237K
93970 5,946 4,949 $236K
99220 2,205 1,931 $236K
59426 2,657 1,742 $236K
71250 5,726 4,978 $233K
81420 998 871 $232K
73060 5,867 4,514 $231K
99460 3,806 3,329 $231K
82248 56,209 41,415 $230K
93886 1,430 1,194 $228K
92015 11,543 9,573 $228K
73100 5,602 4,078 $227K
99255 2,426 1,956 $226K
83970 9,619 8,132 $226K
86780 25,478 19,416 $221K
73620 5,035 3,698 $220K
72146 1,324 1,083 $219K
43235 855 748 $219K
76642 7,883 6,464 $218K
74178 1,645 1,442 $213K
97140 9,094 2,824 $213K
94762 3,209 1,961 $211K
83605 29,246 20,979 $205K
73070 4,550 3,480 $205K
90834 4,395 2,930 $204K
70543 876 724 $204K
72040 5,932 5,027 $203K
73120 2,786 2,003 $202K
92585 1,201 1,070 $201K
92004 3,149 2,497 $200K
76827 3,594 2,732 $197K
86832 1,369 1,042 $196K
73502 7,445 6,317 $195K
86833 1,369 1,042 $194K
42821 108 80 $193K
74019 3,489 2,859 $191K
83735 47,816 30,789 $191K
12011 1,596 1,279 $190K
64643 7,905 6,737 $190K
93225 2,286 1,975 $189K
96409 1,627 1,120 $189K
87563 8,295 5,540 $187K
87624 8,357 7,337 $186K
74230 3,314 2,879 $185K
74176 2,727 2,362 $185K
70250 3,011 2,462 $180K
74022 4,728 3,727 $179K
93975 1,538 1,241 $178K
86235 4,829 2,382 $177K
95819 2,034 1,759 $177K
94060 1,301 1,129 $176K
99201 8,519 7,646 $175K
77066 Tomosynthesis, mammo 3,512 2,980 $174K
95911 729 613 $174K
87077 23,674 17,272 $170K
92652 1,180 985 $169K
99462 5,656 4,053 $169K
J9070 Cyclophosphamide 100 mg inj 687 452 $168K
85046 37,286 25,198 $167K
76830 3,305 2,694 $166K
76856 2,690 2,181 $165K
99239 3,967 3,405 $164K
31231 1,298 1,179 $163K
80047 20,346 16,936 $163K
99468 437 344 $159K
99254 2,276 1,831 $157K
73564 1,380 1,177 $156K
86481 2,451 2,180 $156K
44970 31 26 $156K
P9037 Plate pheres leukoredu irrad 464 222 $155K
83021 12,100 8,364 $153K
97162 3,888 3,320 $153K
86140 36,707 29,610 $152K
80074 4,752 3,850 $151K
96401 4,772 2,381 $150K
87633 631 513 $148K
80069 24,672 18,384 $147K
92588 903 805 $147K
99253 2,205 1,832 $146K
90792 1,942 1,563 $146K
J9217 Leuprolide acetate suspnsion 537 440 $145K
87635 3,260 3,022 $143K
86480 3,491 2,838 $143K
83655 12,662 11,293 $141K
76506 5,636 4,687 $140K
92582 1,692 1,426 $140K
93880 2,148 1,896 $139K
85610 49,654 36,993 $139K
97116 11,097 4,446 $138K
76801 2,194 1,762 $138K
96131 2,166 1,911 $137K
77065 Tomosynthesis, mammo 3,266 2,766 $137K
88304 6,022 4,753 $134K
74240 1,588 1,413 $134K
10060 1,047 881 $133K
72070 2,401 1,975 $129K
49083 427 210 $128K
82784 15,710 9,162 $128K
45385 433 320 $127K
93321 18,095 14,649 $125K
86077 4,723 3,922 $123K
49650 43 37 $122K
99222 3,276 2,600 $122K
69210 3,539 3,044 $122K
72190 2,132 1,783 $121K
31575 2,085 1,823 $120K
Q9967 Locm 300-399mg/ml iodine,1ml 43,489 36,775 $120K
84403 5,396 4,587 $117K
92597 1,863 1,515 $116K
90832 3,150 2,370 $116K
93971 4,160 3,679 $115K
87040 14,664 10,040 $115K
84484 13,926 9,256 $115K
76815 2,688 2,054 $115K
84702 10,967 7,614 $115K
74455 1,002 885 $115K
82570 28,546 21,898 $113K
59025 3,105 2,571 $112K
78816 211 175 $111K
97166 2,619 2,157 $110K
93922 3,745 3,329 $109K
87186 16,602 12,856 $109K
96101 1,039 868 $109K
81003 50,093 39,423 $108K
86160 14,779 6,331 $107K
01961 431 395 $107K
84100 37,614 25,527 $106K
80197 13,988 8,694 $103K
95813 714 605 $103K
95115 3,382 1,591 $103K
74170 1,179 1,061 $103K
85730 24,792 19,786 $102K
82607 10,513 9,155 $101K
69631 33 24 $101K
93296 7,716 7,041 $100K
88185 2,547 1,323 $99K
12001 924 740 $99K
36556 248 168 $99K
78306 853 781 $99K
77301 191 152 $97K
76870 1,405 1,142 $97K
77295 142 121 $97K
96110 9,219 8,248 $97K
75625 150 136 $96K
73600 1,842 1,338 $96K
72110 1,749 1,552 $96K
90472 8,262 7,354 $96K
J2997 Alteplase recombinant 614 463 $95K
17110 1,363 1,141 $94K
80076 14,559 12,391 $92K
88300 8,243 6,781 $92K
T1017 Targeted case management 2,008 801 $91K
43760 701 608 $91K
83550 15,923 13,559 $90K
64450 346 284 $90K
82330 10,008 6,986 $89K
95874 10,359 8,815 $87K
92134 7,958 7,390 $87K
11043 537 367 $87K
87497 5,404 3,582 $85K
83516 5,884 4,437 $85K
96411 1,481 983 $85K
94664 4,843 4,265 $85K
J1561 Gamunex-c/gammaked 89 39 $84K
51701 1,307 1,137 $84K
J1602 Golimumab for iv use 1mg 66 41 $84K
76885 1,544 1,368 $82K
29450 619 291 $81K
93000 6,499 6,157 $80K
90670 21,984 20,291 $80K
83615 18,527 13,384 $80K
87807 7,558 6,541 $79K
37225 56 51 $78K
97533 2,498 896 $78K
87522 Neg quan hep c or qual rna 2,735 2,424 $77K
73700 1,188 920 $75K
49593 33 24 $75K
90686 28,355 24,147 $75K
93798 3,039 531 $74K
83540 17,304 14,482 $73K
83002 4,375 3,666 $73K
G2066 Inter devc remote 30d 5,961 5,173 $73K
77470 286 252 $72K
82533 5,202 3,709 $72K
73000 1,398 1,023 $71K
67028 1,561 1,452 $71K
12002 519 380 $71K
84156 25,797 20,730 $70K
82785 5,715 4,222 $70K
83520 5,075 4,098 $69K
29125 954 801 $69K
82550 12,291 9,686 $68K
83001 4,288 3,591 $68K
88173 2,426 1,438 $67K
96137 1,574 1,409 $67K
82670 2,816 2,283 $67K
94250 1,398 1,180 $66K
85660 18,894 7,065 $66K
Q5115 Inj truxima 10 mg 34 16 $65K
86147 1,253 998 $65K
84402 2,761 2,410 $65K
85652 30,243 25,097 $65K
96450 475 300 $65K
88141 4,375 3,969 $64K
85007 21,383 14,109 $64K
92551 9,819 7,987 $64K
P9011 Blood split unit 836 568 $64K
62270 224 191 $64K
87340 9,783 8,199 $63K
87906 925 811 $62K
J2182 Injection, mepolizumab, 1mg 37 37 $61K
72050 1,072 890 $61K
86803 6,972 5,983 $61K
88108 4,518 3,153 $60K
84305 3,309 2,831 $59K
92611 1,160 1,009 $59K
88313 2,453 1,450 $59K
99442 2,411 2,051 $59K
77014 2,206 339 $58K
83690 12,724 10,261 $58K
77290 297 230 $58K
36591 13,109 8,622 $58K
J1050 Medroxyprogesterone acetate 1,101 1,023 $57K
95715 244 131 $57K
J2469 Palonosetron hcl 337 199 $57K
74220 540 469 $56K
96136 1,927 1,702 $55K
82375 7,441 5,064 $54K
86038 5,685 4,651 $54K
82043 13,069 11,512 $54K
88341 6,473 3,329 $53K
84153 4,718 4,027 $53K
90935 2,816 1,409 $53K
70544 465 354 $53K
31624 183 119 $52K
86317 1,598 785 $52K
87799 4,870 2,965 $52K
82105 4,712 3,984 $52K
99471 115 87 $51K
99217 1,223 1,075 $51K
73522 1,025 883 $51K
73221 447 379 $50K
86376 3,977 3,382 $50K
82746 5,380 4,636 $49K
95117 1,828 811 $49K
72131 972 789 $49K
62370 551 470 $49K
80177 4,563 3,824 $49K
88312 2,004 1,023 $49K
84550 14,804 11,209 $48K
90732 980 792 $48K
77075 767 654 $48K
78708 221 196 $48K
82610 3,944 3,250 $48K
93295 2,984 2,837 $48K
75561 235 187 $47K
86762 4,923 3,971 $47K
99221 1,159 950 $47K
82810 7,699 5,235 $47K
87205 13,920 10,831 $46K
84146 2,788 2,391 $46K
86225 4,783 3,725 $45K
86880 1,825 776 $45K
97542 1,618 1,208 $45K
82565 13,444 11,722 $44K
92553 804 665 $44K
31622 105 78 $44K
83498 1,771 1,511 $43K
96161 9,637 8,800 $43K
86592 12,115 10,344 $42K
Q5103 Injection, inflectra 51 38 $42K
82627 2,051 1,759 $42K
90734 2,044 1,637 $42K
82024 1,374 1,141 $41K
96402 1,164 961 $41K
92557 673 593 $41K
93923 993 910 $41K
85018 22,082 15,295 $41K
71271 1,015 824 $41K
99443 1,024 903 $41K
L8613 Ossicular implant 1,225 1,065 $41K
J9267 Paclitaxel injection 2,566 1,382 $40K
99173 14,465 12,113 $39K
93531 47 39 $39K
87507 143 117 $39K
87798 722 590 $39K
36561 27 26 $38K
83883 2,887 2,256 $38K
76937 15,583 12,067 $38K
82378 2,881 2,231 $37K
A0225 Neonatal emergency transport 196 152 $37K
86706 5,126 4,399 $37K
J9045 Carboplatin injection 3,057 1,763 $36K
84165 5,807 4,919 $36K
51600 1,225 1,082 $36K
77338 268 205 $36K
90461 17,330 16,526 $36K
90750 497 406 $35K
00126 620 566 $35K
74174 293 254 $35K
P9041 Albumin (human),5%, 50ml 514 331 $35K
93458 31 26 $35K
86704 4,495 3,863 $35K
83050 7,588 5,039 $34K
82977 6,481 4,950 $34K
73720 143 113 $34K
75710 74 69 $34K
54360 15 14 $33K
86039 3,838 3,042 $32K
90961 475 455 $32K
85045 11,390 8,786 $32K
99381 666 602 $32K
84132 12,533 8,947 $31K
64635 41 39 $31K
87517 1,374 1,202 $31K
93282 1,927 1,664 $31K
21235 12 12 $30K
76604 691 526 $30K
76857 553 411 $30K
54300 15 12 $30K
93297 2,890 2,648 $30K
86255 2,031 1,476 $29K
96373 418 326 $28K
81373 606 424 $28K
80164 2,739 2,316 $28K
49500 18 14 $28K
J7298 Mirena, 52 mg 51 41 $28K
87102 4,441 3,393 $28K
J9041 Injection, bortezomib, 0.1mg 136 39 $28K
27096 362 321 $28K
81220 181 155 $28K
86146 690 536 $28K
62328 110 77 $28K
74270 311 260 $27K
85014 18,856 15,159 $27K
93280 1,870 1,654 $27K
72120 423 339 $27K
80143 1,873 1,514 $27K
C1751 Cath, inf, per/cent/midline 3,346 2,592 $27K
A9575 Inj gadoterate meglumi 0.1ml 22,372 19,618 $27K
87535 1,005 820 $26K
90651 2,335 1,653 $26K
92610 667 548 $26K
86787 3,012 2,135 $26K
G0108 Diab manage trn per indiv 433 406 $26K
87045 2,543 2,103 $26K
0241U 4,772 4,037 $26K
95822 968 759 $25K
86800 1,970 1,651 $25K
77427 997 511 $25K
86665 1,616 864 $25K
84295 10,422 7,193 $24K
70480 358 280 $24K
76882 340 274 $24K
87081 5,606 4,663 $24K
76377 1,178 997 $24K
99235 242 184 $24K
82139 1,702 1,416 $24K
00920 353 302 $23K
83519 1,481 1,047 $23K
80179 1,640 1,369 $23K
87075 3,456 2,535 $23K
93298 1,642 1,506 $23K
99219 315 271 $23K
86304 1,762 1,399 $22K
27606 15 13 $22K
83525 2,116 1,780 $22K
86200 2,416 1,833 $22K
A4565 Slings 1,462 1,200 $21K
82820 3,325 1,795 $21K
81243 1,340 1,125 $21K
01920 126 108 $21K
64615 172 132 $20K
84681 1,269 1,021 $20K
72128 358 309 $20K
86790 2,308 1,955 $20K
85379 2,519 2,141 $19K
87046 2,540 2,100 $19K
J9263 Oxaliplatin 495 277 $19K
77370 309 268 $19K
J2506 Inj pegfilgrast ex bio 0.5mg 24 12 $19K
C1769 Guide wire 9,896 7,406 $19K
86355 675 498 $18K
69200 384 282 $18K
95886 2,212 1,942 $18K
87486 634 516 $18K
29580 263 94 $18K
87581 634 516 $18K
93356 1,478 1,162 $18K
77280 215 164 $17K
87210 5,420 4,180 $17K
92555 2,522 2,192 $17K
86359 605 449 $17K
78803 72 65 $17K
73140 330 260 $16K
85060 1,473 1,097 $16K
84134 1,759 1,485 $16K
88172 206 161 $16K
J1726 Makena, 10 mg 60 27 $16K
J7030 Normal saline solution infus 14,200 6,047 $16K
86334 1,664 1,487 $16K
86431 3,567 2,993 $15K
82340 2,564 2,123 $15K
92504 840 751 $15K
93242 725 652 $15K
93283 962 858 $15K
86301 1,066 822 $15K
82247 3,600 2,448 $15K
99441 944 777 $15K
0202U 1,928 1,631 $15K
19081 26 25 $15K
99051 1,352 1,167 $15K
82379 985 818 $14K
00731 550 465 $14K
95910 103 89 $14K
11044 45 24 $14K
80235 815 684 $14K
70546 79 66 $14K
J2405 Ondansetron hcl injection 63,833 43,489 $14K
J1100 Dexamethasone sodium phos 50,597 35,974 $14K
82140 1,336 977 $14K
88311 3,066 2,310 $14K
77076 223 171 $14K
92133 1,561 1,239 $13K
82435 5,330 4,134 $13K
87899 1,724 572 $13K
85097 129 95 $13K
84480 1,135 992 $13K
84244 783 609 $13K
95885 1,083 935 $13K
87116 1,758 1,309 $13K
95251 1,000 897 $13K
86696 941 767 $13K
85384 1,949 1,352 $13K
76080 65 52 $13K
85347 3,660 1,774 $12K
J0178 Aflibercept injection 17 16 $12K
C1776 Joint device (implantable) 423 341 $12K
86357 457 332 $12K
84446 1,160 990 $12K
82150 2,677 2,064 $12K
94729 5,380 4,865 $12K
76981 1,911 1,582 $12K
58100 201 152 $12K
95713 48 41 $12K
25605 17 14 $12K
90620 348 268 $12K
J9370 Vincristine sulfate 1 mg inj 3,367 2,010 $12K
76775 263 224 $12K
81404 647 483 $12K
36593 99 62 $11K
84450 2,690 2,172 $11K
G0381 Lev 2 hosp type b ed visit 386 201 $11K
85613 929 690 $11K
95909 93 87 $11K
J3489 Zoledronic acid 1mg 803 689 $11K
92604 174 154 $11K
89051 2,838 2,026 $11K
90962 245 222 $11K
94642 115 91 $10K
85397 421 356 $10K
99308 697 574 $10K
84238 504 425 $10K
82085 1,340 1,049 $10K
83935 1,801 1,442 $10K
36000 4,913 4,035 $10K
83010 1,263 954 $10K
00790 95 85 $10K
69209 261 236 $10K
C1760 Closure dev, vasc 3,029 2,410 $10K
V5020 Conformity evaluation 1,468 1,211 $10K
82088 351 268 $10K
51798 1,621 1,524 $10K
82157 389 332 $10K
G0382 Lev 3 hosp type b ed visit 425 365 $10K
82542 500 412 $9K
38222 15 14 $9K
90674 1,734 933 $9K
92552 1,021 919 $9K
Q9950 Inj sulf hexa lipid microsph 356 222 $9K
86695 938 767 $9K
87430 401 389 $9K
99252 231 189 $9K
80306 699 582 $9K
86644 821 650 $9K
80183 804 681 $9K
99236 Prolong inpt eval add15 m 69 53 $9K
99152 7,035 6,219 $8K
99457 1,111 1,084 $8K
93312 56 43 $8K
80203 831 717 $8K
85240 566 461 $8K
84590 1,006 859 $8K
93284 771 649 $8K
64644 43 38 $8K
50435 12 12 $8K
77012 770 639 $8K
72081 768 703 $8K
99383 155 127 $8K
85246 410 346 $8K
99382 173 153 $8K
D7210 13 12 $8K
84445 200 166 $8K
99395 480 328 $8K
0071A 362 339 $8K
90715 3,806 3,106 $7K
96160 3,745 3,031 $7K
83789 387 318 $7K
29105 99 77 $7K
93246 325 286 $7K
84425 609 530 $7K
88189 137 113 $7K
88346 90 56 $7K
99417 Prolong home eval add 15m 1,141 990 $7K
84478 1,124 940 $7K
86063 1,427 1,123 $7K
J1030 Methylprednisolone 40 mg inj 1,561 1,427 $7K
11981 91 81 $6K
94618 147 126 $6K
87902 34 25 $6K
81406 893 627 $6K
82951 683 564 $6K
J3010 Fentanyl citrate injection 65,055 49,658 $6K
82657 368 291 $6K
85732 1,221 752 $6K
11900 211 187 $6K
94070 50 27 $6K
87206 1,621 1,215 $6K
80195 697 398 $6K
92083 346 224 $5K
86215 398 319 $5K
86777 595 473 $5K
12013 56 48 $5K
49465 70 65 $5K
99454 800 788 $5K
G1004 Cdsm ndsc 26,581 18,808 $5K
00840 107 89 $5K
P9047 Albumin (human), 25%, 50ml 46 27 $5K
82164 472 400 $5K
92081 139 117 $5K
D2940 109 96 $5K
J9201 In gemcitabine hcl nos 200mg 241 116 $5K
95165 95 81 $5K
64405 48 46 $5K
0072A 295 275 $5K
82652 213 191 $5K
84460 997 863 $5K
31500 100 66 $5K
C1893 Intro/sheath, fixed,non-peel 2,537 1,950 $5K
80299 385 318 $5K
94010 637 575 $5K
85651 1,603 1,365 $5K
82017 337 299 $5K
G8978 Mobility current status 2,145 1,675 $4K
D1120 104 90 $4K
70360 122 83 $4K
84166 567 517 $4K
0296T 410 355 $4K
93299 249 241 $4K
36620 473 359 $4K
87420 299 287 $4K
99464 304 260 $4K
J0131 Inj, acetaminophen (nos) 3,776 3,009 $4K
00400 72 57 $4K
99354 56 52 $4K
83919 247 211 $4K
81405 714 528 $4K
86860 44 37 $4K
78264 39 38 $4K
92595 934 794 $4K
J1756 Iron sucrose injection 3,689 1,698 $4K
77080 252 243 $4K
T1023 Program intake assessment 337 273 $4K
J1097 Phenylep ketorolac opth soln 773 618 $4K
A9562 Tc99m mertiatide 142 120 $4K
82731 74 58 $4K
82390 463 387 $4K
99490 Ccm add 20min 1,030 881 $4K
96377 238 174 $4K
99384 96 70 $4K
54162 25 24 $4K
97014 470 192 $4K
90746 92 86 $4K
84210 337 285 $4K
L4386 Non-pneum walk boot pre cst 562 469 $4K
J1170 Hydromorphone injection 12,027 8,117 $4K
96910 84 29 $4K
84157 1,225 976 $4K
99465 86 70 $4K
86337 220 199 $4K
72192 123 77 $4K
99358 Prolong nursin fac eval 15m 146 139 $4K
11100 71 65 $4K
90847 52 42 $4K
V5264 Ear mold/insert 1,381 1,110 $4K
29065 68 54 $4K
99477 15 12 $4K
86162 348 223 $4K
82310 1,190 936 $4K
62322 111 94 $4K
S9445 Pt education noc individ 2,284 1,976 $4K
36416 27,199 22,609 $4K
86593 1,268 1,025 $3K
D2930 13 12 $3K
82945 1,053 850 $3K
17250 65 56 $3K
90656 1,214 1,188 $3K
90945 134 41 $3K
11982 13 12 $3K
88333 19 15 $3K
A6196 Alginate dressing <=16 sq in 2,273 1,515 $3K
83835 237 188 $3K
95712 16 13 $3K
31615 28 26 $3K
29075 49 44 $3K
00300 49 36 $3K
73521 44 39 $3K
91040 46 26 $3K
84481 230 159 $3K
84207 158 139 $3K
80175 317 272 $3K
77263 28 28 $3K
97016 152 57 $3K
88331 69 51 $3K
96376 5,292 4,264 $3K
96368 1,323 785 $3K
76818 59 41 $3K
10005 13 13 $3K
80185 258 224 $3K
90710 1,349 1,135 $3K
C1894 Intro/sheath, non-laser 5,684 4,327 $3K
90966 75 69 $3K
88302 395 282 $3K
76942 2,474 2,017 $3K
29581 64 24 $3K
01968 46 42 $3K
95990 13 12 $3K
20552 15 14 $2K
77001 1,022 860 $2K
J1040 Methylprednisolone 80 mg inj 310 300 $2K
90870 33 12 $2K
80201 228 195 $2K
Q4036 Cast sup lngleg cylndr ped f 99 43 $2K
82016 278 197 $2K
J9000 Doxorubicin hcl injection 287 183 $2K
C9447 Inj, phenylephrine ketorolac 21 18 $2K
81407 418 348 $2K
88142 522 502 $2K
11104 53 29 $2K
82172 158 140 $2K
90833 64 40 $2K
96132 45 44 $2K
84155 2,029 1,531 $2K
77002 1,578 1,353 $2K
86364 707 562 $2K
A9552 F18 fdg 4,709 4,159 $2K
93285 116 110 $2K
J1815 Insulin injection 1,945 774 $2K
93271 33 21 $2K
41010 24 24 $2K
17311 14 12 $2K
96133 25 25 $2K
A6021 Collagen dressing <=16 sq in 1,431 933 $2K
51702 32 29 $2K
87338 157 144 $2K
J2270 Morphine sulfate injection 34,533 23,331 $2K
75630 118 111 $2K
81050 692 612 $2K
G0109 Diab manage trn ind/group 53 41 $2K
86308 408 337 $2K
86684 182 92 $2K
G8980 Mobility d/c status 1,112 859 $2K
87493 66 55 $2K
90853 108 85 $2K
C1725 Cath, translumin non-laser 2,182 1,688 $2K
J1885 Ketorolac tromethamine inj 9,116 6,466 $2K
75635 16 13 $2K
99475 14 12 $2K
90785 274 170 $2K
00750 13 12 $2K
81380 50 45 $2K
00320 25 18 $2K
81403 200 180 $2K
L4360 Pneumat walking boot pre cst 75 71 $2K
93227 92 81 $2K
J7999 Compounded drug, noc 187 170 $1K
31579 44 38 $1K
77332 19 12 $1K
86711 276 218 $1K
90633 7,368 6,621 $1K
93294 152 151 $1K
88112 150 100 $1K
00140 48 31 $1K
83993 95 77 $1K
81332 94 79 $1K
L8509 Trach-esoph voice pros md in 777 694 $1K
90696 1,136 950 $1K
82103 99 85 $1K
83930 324 230 $1K
52000 15 14 $1K
70487 18 12 $1K
G8984 Carry current status 403 350 $1K
94617 20 12 $1K
92626 30 25 $1K
J7060 5% dextrose/water 3,639 1,220 $1K
64400 13 13 $1K
99309 286 180 $1K
99306 Prolong nursin fac eval 15m 12 12 $1K
87449 207 101 $1K
C1887 Catheter, guiding 6,694 4,928 $1K
00160 16 13 $1K
86677 86 69 $1K
J9171 Docetaxel injection 17 14 $1K
83921 81 76 $1K
93793 538 386 $1K
84466 151 121 $1K
V5010 Assessment for hearing aid 310 276 $1K
83521 1,362 1,045 $1K
93279 43 39 $1K
82010 204 166 $1K
V5140 Behind ear binaur hearing ai 21 14 $1K
90756 78 76 $1K
86060 130 111 $1K
G2211 Complex e/m visit add on 2,062 1,439 $1K
81002 443 371 $1K
92082 78 55 $1K
96112 21 12 $1K
76828 18 14 $1K
85670 264 212 $1K
82465 308 272 $1K
G0296 Visit to determ ldct elig 94 92 $1K
73660 22 15 $1K
94200 194 164 $997.34
00813 18 14 $990.00
L3908 Who cock-up nonmolde pre ots 148 140 $983.30
90677 3,298 3,151 $982.16
0124A 63 52 $955.66
A9500 Tc99m sestamibi 2,583 2,293 $955.50
99458 364 327 $947.13
96127 290 248 $941.68
84432 91 77 $930.13
87015 228 167 $920.57
81370 16 12 $907.02
J9260 Inj methotrexate sodium 50mg 901 506 $906.45
99396 29 24 $891.55
83701 45 37 $877.09
86341 662 384 $876.02
99401 44 36 $875.06
A6209 Foam drsg <=16 sq in w/o bdr 1,147 595 $863.82
86705 126 110 $845.84
G8979 Mobility goal status 2,149 1,678 $784.38
84520 187 156 $774.60
93926 13 13 $773.71
G8981 Body pos current status 114 92 $764.84
96118 43 29 $763.46
51784 43 36 $744.36
82955 111 104 $733.67
58300 16 12 $731.62
93226 16 13 $728.40
J0330 Succinycholine chloride inj 4,656 3,463 $714.97
85520 70 51 $706.18
J3301 Triamcinolone acet inj nos 263 227 $704.70
73650 24 13 $699.65
76776 32 25 $699.11
0001A 54 44 $697.81
87076 135 78 $676.71
87901 632 570 $676.34
82787 30 27 $664.39
00520 19 12 $662.20
G0257 Unsched dialysis esrd pt hos 99 48 $661.56
96138 263 245 $651.55
84630 80 74 $650.76
G8989 Self care d/c status 365 308 $635.54
88350 23 12 $634.91
J7510 Prednisolone oral per 5 mg 2,020 1,420 $632.92
Q9968 Visualization adjunct 15 12 $630.10
99195 14 12 $626.50
00635 14 12 $625.23
86664 66 43 $625.15
95012 404 362 $622.66
82952 221 191 $620.22
88177 147 126 $598.04
G0008 Admin influenza virus vac 471 467 $568.38
J0640 Leucovorin calcium injection 19 12 $566.72
90698 5,007 4,659 $565.60
93978 34 15 $564.73
77063 2,447 2,232 $557.81
95941 13 12 $552.00
93270 17 15 $547.06
86335 65 62 $546.09
86618 38 30 $539.67
86663 66 43 $536.44
J9060 Cisplatin 10 mg injection 65 29 $534.14
72080 15 12 $528.56
Q4008 Cast sup long arm ped fbrgls 48 40 $527.07
85049 151 80 $522.14
V5011 Hearing aid fitting/checking 2,812 2,362 $521.10
95938 13 12 $515.71
87529 22 12 $512.46
A6212 Foam drg <=16 sq in w/border 664 514 $507.63
75774 134 123 $507.48
82040 191 154 $503.66
86769 13 13 $498.04
84154 41 38 $494.24
64494 1,011 870 $460.39
74021 20 17 $460.08
87184 95 80 $457.36
J1650 Inj enoxaparin sodium 7,967 3,108 $455.47
99307 143 138 $449.53
G0452 Molecular pathology interpr 16 16 $448.54
V2020 Vision svcs frames purchases 116 82 $448.11
80169 46 40 $438.41
0173A 23 13 $433.53
G0279 Tomosynthesis, mammo 2,409 2,098 $420.65
J2274 Inj morphine pf epid ithc 2,206 1,825 $415.51
99091 58 54 $415.23
U0002 Covid-19 lab test non-cdc 19 18 $396.66
G0297 Ldct for lung ca screen 185 181 $395.96
87181 74 60 $394.33
Q9966 Locm 200-299mg/ml iodine,1ml 2,078 1,724 $391.20
V5160 Dispensing fee binaural 44 15 $390.00
0077U 474 428 $388.96
J1010 Inj, methylpred acetate 1 mg 136 112 $384.43
83020 33 33 $382.33
81408 92 69 $379.71
78582 14 13 $375.59
90647 7,630 7,018 $374.33
G0380 Lev 1 hosp type b ed visit 147 75 $363.30
95718 16 13 $353.82
J9250 Methotrexate sodium inj 646 348 $353.48
87209 26 25 $348.90
C1780 Lens, intraocular (new tech) 29 27 $348.00
J1953 Levetiracetam injection 2,955 2,144 $344.43
99251 18 14 $326.81
83090 36 29 $320.46
90700 114 89 $320.00
87641 13 12 $313.14
99156 16 14 $298.33
90714 2,366 1,958 $295.26
90688 23 23 $291.34
J3370 Vancomycin hcl injection 4,239 1,850 $287.99
87400 28 14 $281.76
82626 13 12 $277.43
87305 51 24 $274.23
99453 96 95 $272.16
81511 1,202 1,039 $272.00
86645 23 14 $265.11
J9190 Fluorouracil injection 36 13 $264.73
00811 14 12 $263.03
36247 439 328 $262.27
J7512 Prednisone ir or dr oral 1mg 4,377 2,281 $261.20
90707 1,272 1,107 $241.83
J2250 Inj midazolam hydrochloride 27,666 22,314 $237.96
G8987 Self care current status 635 520 $236.88
A4648 Implantable tissue marker 991 871 $236.00
77003 14 13 $235.83
93244 18 18 $234.87
86648 12 12 $225.24
A9901 Delivery/set up/dispensing 52 43 $225.00
D0210 13 13 $222.66
C1889 Implant/insert device, noc 60 52 $220.84
36568 19 12 $217.59
58340 18 12 $210.30
95806 14 13 $203.25
88240 37 13 $195.68
84145 579 476 $187.26
G0425 Inpt/ed teleconsult30 44 31 $186.90
86687 32 27 $183.40
D1206 27 24 $181.83
93018 38 36 $181.22
84075 47 43 $178.38
87177 26 25 $174.47
93016 75 54 $172.62
51736 28 24 $169.53
99241 15 14 $163.70
80184 15 12 $151.47
D0150 14 12 $148.86
80156 13 12 $144.69
Q9965 Locm 100-199mg/ml iodine,1ml 874 736 $142.18
86008 80 66 $132.85
97535 496 279 $129.91
87350 12 12 $128.07
92340 13 13 $126.88
92250 26 12 $121.80
G8988 Self care goal status 631 517 $117.89
82270 30 25 $117.51
90685 314 284 $114.85
99226 183 124 $113.46
64999 19 13 $112.25
93291 13 13 $108.59
88334 16 12 $106.96
97150 419 222 $106.88
80186 15 12 $104.93
93248 13 12 $102.70
G0453 Cont intraop neuro monitor 19 12 $90.00
J3475 Inj magnesium sulfate 171 117 $85.52
A6261 Wound filler gel/paste /oz 93 67 $85.28
95982 13 12 $85.11
86005 12 12 $82.85
92583 29 26 $81.25
90474 14 12 $79.92
J0134 Inj acetaminophen -fresenius 2,778 2,134 $78.10
J1817 Insulin for insulin pump use 343 180 $75.20
J0612 Inj, calcium gluconate, nos 104 67 $70.46
92594 108 94 $69.69
36592 765 375 $69.68
84300 33 24 $69.12
82525 14 14 $67.81
82540 26 13 $61.32
87220 12 12 $55.63
75716 12 12 $55.02
80321 119 104 $53.01
0346T 351 316 $48.81
J1720 Hydrocortisone sodium succ i 26 12 $42.45
D1208 12 12 $38.10
J0696 Ceftriaxone sodium injection 941 806 $36.33
G8990 Other pt/ot current status 117 99 $34.90
J7321 Hyalgan supartz visco-3 dose 24 14 $33.63
L4387 Non-pneum walk boot pre ots 14 14 $31.94
G9171 Voice current status 113 99 $28.70
C9113 Inj pantoprazole sodium, via 1,323 673 $24.96
J0692 Cefepime hcl for injection 434 150 $23.33
A6222 Gauze <=16 in no w/sal w/o b 28 13 $21.10
A6206 Contact layer <= 16 sq in 17 13 $20.55
90739 33 26 $19.47
A7507 Integrated filter & holder 263 230 $16.12
J0610 Calcium glucon (fresenius) 568 446 $15.55
81596 353 318 $11.47
J7614 Levalbuterol non-comp unit 45 44 $9.60
J8540 Oral dexamethasone 62 25 $6.27
Q0169 Promethazine hcl 12.5mg oral 73 52 $0.70
90681 5,156 4,825 $0.00
C1729 Cath, drainage 2,263 1,564 $0.00
J1644 Inj heparin sodium per 1000u 14 12 $0.00
77062 198 170 $0.00
A9577 Inj multihance 564 486 $0.00
0502F 7,838 5,764 $0.00
64495 269 248 $0.00
86015 15 12 $0.00
J0295 Ampicillin sulbactam 1.5 gm 1,561 341 $0.00
3078F 324 292 $0.00
G0444 Depression screen annual 85 74 $0.00
J2800 Methocarbamol injection 1,201 485 $0.00
3077F 360 329 $0.00
G8985 Carry goal status 405 350 $0.00
64636 25 25 $0.00
G0473 Group behave couns 2-10 79 70 $0.00
81479 924 669 $0.00
94667 82 72 $0.00
C2628 Catheter, occlusion 210 152 $0.00
C1714 Cath, trans atherectomy, dir 148 137 $0.00
A9541 Tc99m sulfur colloid 87 81 $0.00
L4361 Pneuma/vac walk boot pre ots 14 14 $0.00
3046F 99 85 $0.00
C1788 Port, indwelling, imp 58 54 $0.00
C8929 Tte w or wo fol wcon,doppler 68 65 $0.00
76810 66 51 $0.00
81401 62 55 $0.00
J1171 Inj, hydromorphone, 0.1 mg 233 183 $0.00
P9073 Platelets pheresis path redu 58 29 $0.00
87631 54 42 $0.00
G2212 Prolong outpt/office vis 23 12 $0.00
76376 22 15 $0.00
L1830 Ko immob canvas long pre ots 26 25 $0.00
C1765 Adhesion barrier 18 13 $0.00
A9502 Tc99m tetrofosmin 15 13 $0.00
G0270 Mnt subs tx for change dx 13 12 $0.00
V5261 Hearing aid, digit, bin, bte 12 12 $0.00
J7620 Albuterol ipratrop non-comp 411 236 $0.00
C2623 Cath, translumin, drug-coat 19 17 $0.00
J2785 Regadenoson injection 2,390 2,112 $0.00
3008F 8,899 8,361 $0.00
A9503 Tc99m medronate 541 484 $0.00
90744 1,475 1,417 $0.00
99024 3,489 2,569 $0.00
90680 3,186 3,018 $0.00
90723 11,252 10,619 $0.00
C1892 Intro/sheath,fixed,peel-away 184 161 $0.00
C1726 Cath, bal dil, non-vascular 413 321 $0.00
0500F 348 330 $0.00
V2632 Post chmbr intraocular lens 1,401 1,121 $0.00
94668 952 422 $0.00
C1877 Stent, non-coat/cov w/o del 198 134 $0.00
77417 28 12 $0.00
G8991 Other pt/ot goal status 117 99 $0.00
90716 999 898 $0.00
3048F 12 12 $0.00
99153 Mod sedat endo service >5yrs 2,729 2,484 $0.00
3080F 280 252 $0.00
90697 1,247 1,077 $0.00
G0009 Admin pneumococcal vaccine 103 100 $0.00
3351F 164 154 $0.00
3074F 311 283 $0.00
97804 127 102 $0.00
C9290 Inj, bupivacaine liposome 338 224 $0.00
3075F 66 56 $0.00
C2617 Stent, non-cor, tem w/o del 429 338 $0.00
A0426 Als 1 74 54 $0.00
L8699 Prosthetic implant nos 99 67 $0.00
G9172 Voice goal status 113 99 $0.00
3079F 186 168 $0.00
J2470 Inj pantoprazole sodium 40mg 70 39 $0.00
3044F 37 35 $0.00
G8986 Carry d/c status 48 46 $0.00
C1734 Orth/devic/drug bn/bn,tis/bn 36 25 $0.00
49424 47 40 $0.00
G8982 Body pos goal status 114 92 $0.00
C1773 Ret dev, insertable 74 50 $0.00
C2618 Probe/needle, cryo 60 52 $0.00
0503F 787 713 $0.00
C1781 Mesh (implantable) 158 126 $0.00
G9173 Voice d/c status 113 99 $0.00
L3808 Whfo, rigid w/o joints 16 12 $0.00
11045 27 25 $0.00
76812 32 25 $0.00
90378 41 30 $0.00
96139 55 52 $0.00
A9540 Tc99m maa 13 12 $0.00
J2765 Metoclopramide hcl injection 18 12 $0.00
A0434 Specialty care transport 14 13 $0.00
3353F 13 12 $0.00
90619 45 35 $0.00
J2795 Ropivacaine hcl injection 23 14 $0.00
J7507 Tacrolimus imme rel oral 1mg 34 12 $0.00