| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
106,393 |
86,639 |
$5.07M |
| 99284 |
|
35,325 |
32,658 |
$4.33M |
| 99285 |
|
13,704 |
12,323 |
$3.64M |
| 99283 |
|
39,161 |
36,217 |
$3.27M |
| Q9992 |
Buprenorphine xr over 100 mg |
1,933 |
1,827 |
$2.85M |
| Q9991 |
Buprenorph xr 100 mg or less |
1,559 |
1,464 |
$2.19M |
| 99214 |
|
62,234 |
55,524 |
$2.13M |
| 96374 |
|
11,449 |
10,215 |
$1.07M |
| 74177 |
|
6,447 |
5,974 |
$945K |
| 45385 |
|
2,413 |
2,304 |
$864K |
| 99282 |
|
13,094 |
12,048 |
$782K |
| 45380 |
|
1,820 |
1,728 |
$742K |
| 99213 |
|
29,994 |
23,847 |
$725K |
| 43239 |
|
2,843 |
2,663 |
$720K |
| 96365 |
|
7,917 |
5,637 |
$575K |
| 93306 |
|
5,970 |
5,674 |
$553K |
| 71046 |
|
13,403 |
12,124 |
$440K |
| 87637 |
|
7,694 |
7,119 |
$432K |
| 95810 |
|
879 |
827 |
$377K |
| 29581 |
|
5,679 |
1,937 |
$332K |
| 96361 |
|
9,508 |
7,905 |
$318K |
| 70450 |
|
5,059 |
4,639 |
$312K |
| 96375 |
|
9,420 |
7,983 |
$278K |
| 78452 |
|
876 |
817 |
$238K |
| 77067 |
|
5,122 |
5,001 |
$228K |
| 99204 |
|
3,678 |
3,488 |
$227K |
| 76705 |
|
3,055 |
2,924 |
$211K |
| 74176 |
|
2,030 |
1,926 |
$202K |
| 95811 |
|
473 |
459 |
$195K |
| J1745 |
Infliximab not biosimil 10mg |
108 |
103 |
$191K |
| 96360 |
|
2,555 |
2,207 |
$189K |
| 99215 |
Prolong outpt/office vis |
2,993 |
2,746 |
$163K |
| 72148 |
|
1,675 |
1,616 |
$154K |
| 94726 |
|
3,935 |
3,805 |
$141K |
| 70551 |
|
1,104 |
1,060 |
$132K |
| 99281 |
|
3,170 |
2,935 |
$123K |
| 90471 |
|
5,922 |
5,636 |
$114K |
| 71275 |
|
1,730 |
1,629 |
$111K |
| 96413 |
|
893 |
781 |
$104K |
| 76830 |
|
1,539 |
1,485 |
$100K |
| 90832 |
|
2,408 |
1,539 |
$100K |
| D7140 |
|
26 |
25 |
$96K |
| 93010 |
|
23,060 |
18,690 |
$88K |
| 80053 |
|
55,225 |
47,326 |
$81K |
| 96372 |
|
15,842 |
12,283 |
$81K |
| 84443 |
|
15,389 |
14,527 |
$79K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,726 |
1,614 |
$76K |
| 71250 |
|
1,848 |
1,790 |
$74K |
| 80061 |
|
12,611 |
12,087 |
$72K |
| 94060 |
|
712 |
691 |
$71K |
| 76536 |
|
2,361 |
2,258 |
$69K |
| 76642 |
|
1,781 |
1,630 |
$67K |
| 77063 |
|
4,435 |
4,333 |
$66K |
| 98927 |
|
4,155 |
3,329 |
$59K |
| 71260 |
|
926 |
874 |
$59K |
| 96366 |
|
2,598 |
1,734 |
$57K |
| 85025 |
|
56,297 |
46,341 |
$54K |
| 72141 |
|
440 |
432 |
$54K |
| 77066 |
Tomosynthesis, mammo |
766 |
739 |
$52K |
| 82306 |
|
4,597 |
4,372 |
$50K |
| 73721 |
|
366 |
352 |
$49K |
| 99205 |
Prolong outpt/office vis |
627 |
594 |
$49K |
| 71271 |
|
1,092 |
1,050 |
$48K |
| 99203 |
|
941 |
913 |
$43K |
| 90837 |
|
463 |
257 |
$37K |
| D2930 |
|
82 |
78 |
$36K |
| 93971 |
|
781 |
746 |
$34K |
| 90677 |
|
309 |
300 |
$33K |
| 93017 |
|
1,245 |
1,169 |
$32K |
| 36415 |
|
71,258 |
57,757 |
$32K |
| C8929 |
Tte w or wo fol wcon,doppler |
145 |
132 |
$31K |
| 83036 |
|
13,169 |
12,507 |
$31K |
| 90686 |
|
3,226 |
3,105 |
$29K |
| G0330 |
Facility svs dental rehab |
12 |
12 |
$28K |
| 99406 |
|
3,062 |
2,885 |
$28K |
| 93005 |
|
20,415 |
17,283 |
$28K |
| 71045 |
|
1,325 |
1,133 |
$27K |
| 11719 |
|
1,974 |
1,880 |
$26K |
| C9803 |
Hopd covid-19 spec collect |
1,985 |
1,896 |
$25K |
| M0245 |
Bamlan and etesev infusion |
104 |
100 |
$25K |
| 82728 |
|
5,047 |
4,716 |
$24K |
| 95806 |
|
252 |
237 |
$23K |
| 72100 |
|
1,587 |
1,496 |
$22K |
| 82607 |
|
4,219 |
3,991 |
$22K |
| Q3014 |
Telehealth facility fee |
1,799 |
1,641 |
$21K |
| G0296 |
Visit to determ ldct elig |
1,080 |
1,019 |
$21K |
| 43235 |
|
69 |
67 |
$21K |
| 97161 |
|
944 |
833 |
$20K |
| 73221 |
|
149 |
129 |
$18K |
| 97597 |
|
342 |
284 |
$18K |
| 76770 |
|
379 |
365 |
$18K |
| G0400 |
Home sleep test/type 4 porta |
76 |
76 |
$17K |
| 77080 |
|
695 |
675 |
$17K |
| 99495 |
|
432 |
422 |
$17K |
| 99232 |
|
580 |
182 |
$16K |
| 90792 |
|
243 |
209 |
$15K |
| Q5104 |
Injection, renflexis |
18 |
12 |
$15K |
| 87591 |
|
1,585 |
1,500 |
$15K |
| 87491 |
|
1,584 |
1,500 |
$15K |
| 73564 |
|
834 |
745 |
$13K |
| M0247 |
Sotrovimab infusion |
62 |
60 |
$12K |
| 83550 |
|
4,179 |
3,933 |
$12K |
| 90732 |
|
330 |
316 |
$12K |
| 99443 |
|
435 |
390 |
$12K |
| 83970 |
|
1,455 |
1,189 |
$11K |
| 70486 |
|
285 |
276 |
$11K |
| 80048 |
|
8,695 |
6,629 |
$11K |
| 77065 |
Tomosynthesis, mammo |
254 |
245 |
$11K |
| G0279 |
Tomosynthesis, mammo |
578 |
559 |
$11K |
| 80307 |
|
5,876 |
4,998 |
$11K |
| 99291 |
|
29 |
29 |
$10K |
| 84439 |
|
3,213 |
3,007 |
$10K |
| 73130 |
|
1,361 |
1,151 |
$10K |
| 86803 |
|
2,079 |
1,955 |
$10K |
| 94010 |
|
2,535 |
2,455 |
$10K |
| 72125 |
|
1,331 |
1,243 |
$10K |
| 73630 |
|
1,800 |
1,596 |
$10K |
| 86235 |
|
482 |
424 |
$10K |
| 83540 |
|
4,299 |
4,040 |
$9K |
| 20610 |
|
98 |
95 |
$9K |
| M0243 |
Casirivi and imdevi inj |
46 |
45 |
$9K |
| 73030 |
|
1,475 |
1,326 |
$9K |
| 99212 |
|
434 |
400 |
$9K |
| 96367 |
|
324 |
268 |
$9K |
| 86140 |
|
8,611 |
7,807 |
$9K |
| 96415 |
|
311 |
278 |
$9K |
| 45378 |
|
15 |
15 |
$8K |
| Q0222 |
Bebtelovimab 175 mg |
54 |
51 |
$8K |
| 87426 |
|
500 |
473 |
$8K |
| 94618 |
|
953 |
928 |
$8K |
| G0297 |
Ldct for lung ca screen |
489 |
414 |
$7K |
| 80305 |
|
5,286 |
4,330 |
$7K |
| 41899 |
|
16 |
16 |
$7K |
| 96373 |
|
45 |
45 |
$7K |
| M0222 |
Bebtelovimab injection |
62 |
60 |
$7K |
| 93242 |
|
314 |
312 |
$6K |
| 83880 |
|
2,649 |
2,333 |
$6K |
| 73610 |
|
948 |
826 |
$6K |
| 99211 |
|
595 |
521 |
$6K |
| 87086 |
|
6,405 |
5,801 |
$6K |
| 80076 |
|
2,733 |
2,480 |
$5K |
| D3221 |
|
25 |
25 |
$5K |
| 87389 |
|
445 |
413 |
$5K |
| 80050 |
|
225 |
190 |
$5K |
| 83735 |
|
17,350 |
13,667 |
$5K |
| 94729 |
|
4,276 |
4,135 |
$5K |
| 74183 |
|
25 |
24 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
327 |
305 |
$5K |
| 85652 |
|
8,126 |
7,402 |
$5K |
| 99442 |
|
300 |
284 |
$5K |
| 82043 |
|
3,094 |
2,967 |
$5K |
| 73110 |
|
422 |
355 |
$5K |
| 84403 |
|
261 |
246 |
$4K |
| 73502 |
|
941 |
869 |
$4K |
| 93270 |
|
313 |
302 |
$4K |
| 97162 |
|
200 |
137 |
$4K |
| 99222 |
|
101 |
90 |
$4K |
| J0248 |
Inj, remdesivir, 1 mg |
134 |
48 |
$4K |
| 85610 |
|
5,842 |
4,301 |
$4K |
| 00170 |
|
28 |
27 |
$3K |
| 70491 |
|
27 |
27 |
$3K |
| 86200 |
|
734 |
693 |
$3K |
| D1120 |
|
141 |
132 |
$3K |
| 98928 |
|
364 |
331 |
$3K |
| 84153 |
|
334 |
316 |
$3K |
| 72050 |
|
125 |
117 |
$3K |
| 87798 |
|
131 |
111 |
$3K |
| 82565 |
|
2,151 |
1,980 |
$3K |
| 83690 |
|
11,469 |
10,110 |
$3K |
| 81001 |
|
9,192 |
8,166 |
$2K |
| 77062 |
|
98 |
95 |
$2K |
| 90791 |
|
38 |
38 |
$2K |
| 85027 |
|
2,641 |
2,179 |
$2K |
| 90656 |
|
202 |
199 |
$2K |
| 90746 |
|
42 |
42 |
$2K |
| 87070 |
|
1,961 |
1,755 |
$2K |
| 95251 |
|
129 |
123 |
$2K |
| 87641 |
|
218 |
202 |
$2K |
| 51798 |
|
1,037 |
935 |
$2K |
| 86225 |
|
461 |
430 |
$2K |
| 87186 |
|
2,439 |
2,250 |
$2K |
| 93225 |
|
42 |
39 |
$2K |
| 95800 |
|
187 |
173 |
$2K |
| 86618 |
|
377 |
356 |
$2K |
| G0009 |
Admin pneumococcal vaccine |
278 |
275 |
$2K |
| 88305 |
|
5,473 |
5,147 |
$2K |
| 70553 |
|
13 |
13 |
$2K |
| 86038 |
|
289 |
272 |
$2K |
| 82746 |
|
359 |
340 |
$2K |
| 00811 |
|
311 |
296 |
$2K |
| 97803 |
|
170 |
142 |
$2K |
| 84484 |
|
16,375 |
10,733 |
$2K |
| 94640 |
|
2,532 |
1,496 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
73 |
70 |
$2K |
| 90834 |
|
14 |
12 |
$2K |
| 87340 |
|
429 |
397 |
$2K |
| 90662 |
|
868 |
838 |
$2K |
| 86039 |
|
454 |
437 |
$1K |
| 91322 |
|
58 |
53 |
$1K |
| 86160 |
|
213 |
178 |
$1K |
| 81025 |
|
5,665 |
5,214 |
$1K |
| 73562 |
|
387 |
364 |
$1K |
| 86706 |
|
325 |
299 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
35 |
15 |
$1K |
| 97116 |
|
1,862 |
968 |
$1K |
| G0480 |
Drug test def 1-7 classes |
141 |
123 |
$1K |
| 82784 |
|
386 |
309 |
$1K |
| G0378 |
Hospital observation per hr |
4,712 |
2,542 |
$1K |
| 00731 |
|
671 |
638 |
$1K |
| G0008 |
Admin influenza virus vac |
2,122 |
2,055 |
$1K |
| G2211 |
Complex e/m visit add on |
1,687 |
1,571 |
$1K |
| 87077 |
|
2,609 |
2,403 |
$1K |
| 81003 |
|
11,074 |
10,097 |
$1K |
| 86431 |
|
628 |
597 |
$1K |
| 87502 |
|
171 |
161 |
$1K |
| 82962 |
|
11,933 |
5,190 |
$1K |
| 87205 |
|
2,155 |
1,899 |
$1K |
| 97530 |
|
910 |
365 |
$1K |
| G0103 |
Psa screening |
189 |
184 |
$1K |
| 10060 |
|
13 |
12 |
$1K |
| 99496 |
|
14 |
14 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,802 |
9,962 |
$1K |
| 84100 |
|
1,923 |
1,244 |
$1K |
| 87651 |
|
724 |
695 |
$964.34 |
| 82550 |
|
1,204 |
1,030 |
$951.74 |
| 93244 |
|
83 |
79 |
$887.51 |
| 87493 |
|
99 |
56 |
$878.41 |
| 87631 |
|
869 |
805 |
$874.70 |
| 83516 |
|
285 |
247 |
$850.29 |
| 82077 |
|
3,066 |
2,690 |
$846.27 |
| 93016 |
|
75 |
73 |
$819.04 |
| 85379 |
|
3,253 |
3,013 |
$801.34 |
| 11055 |
|
34 |
26 |
$770.36 |
| 84703 |
|
1,008 |
932 |
$704.62 |
| 82570 |
|
304 |
290 |
$703.30 |
| 64415 |
|
29 |
28 |
$665.26 |
| 93228 |
|
42 |
42 |
$612.66 |
| 71101 |
|
85 |
79 |
$593.21 |
| 87040 |
|
3,819 |
1,997 |
$585.17 |
| 83605 |
|
7,030 |
5,615 |
$580.13 |
| D1206 |
|
123 |
114 |
$571.00 |
| 87635 |
|
19 |
19 |
$545.99 |
| 99221 |
|
15 |
13 |
$543.30 |
| A9585 |
Gadobutrol injection |
1,515 |
1,437 |
$527.77 |
| 84550 |
|
526 |
491 |
$509.65 |
| 87661 |
|
55 |
55 |
$497.60 |
| 93018 |
|
71 |
69 |
$495.44 |
| 86704 |
|
156 |
145 |
$480.59 |
| 84402 |
|
29 |
28 |
$470.02 |
| 93272 |
|
40 |
38 |
$468.28 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
993 |
892 |
$458.54 |
| 76870 |
|
14 |
14 |
$456.20 |
| 77061 |
|
13 |
13 |
$456.05 |
| 72202 |
|
13 |
13 |
$437.17 |
| 86481 |
|
16 |
15 |
$427.35 |
| 81002 |
|
1,892 |
1,760 |
$400.94 |
| 84702 |
|
113 |
94 |
$397.33 |
| 82805 |
|
276 |
230 |
$388.05 |
| J2270 |
Morphine sulfate injection |
2,898 |
2,335 |
$382.63 |
| 90480 |
|
55 |
50 |
$381.72 |
| G0399 |
Home sleep test/type 3 porta |
14 |
13 |
$378.72 |
| 88342 |
|
953 |
879 |
$369.11 |
| 87640 |
|
217 |
202 |
$360.70 |
| 96127 |
|
130 |
77 |
$357.22 |
| 86900 |
|
90 |
87 |
$326.65 |
| 97165 |
|
15 |
14 |
$317.14 |
| 97802 |
|
23 |
14 |
$290.85 |
| 99223 |
Prolong inpt eval add15 m |
28 |
24 |
$276.78 |
| 99441 |
|
30 |
29 |
$269.77 |
| J7120 |
Ringers lactate infusion |
9,980 |
8,681 |
$263.00 |
| J2704 |
Inj, propofol, 10 mg |
19,721 |
11,781 |
$262.21 |
| G0472 |
Hep c screen high risk/other |
89 |
83 |
$259.16 |
| J7030 |
Normal saline solution infus |
8,192 |
6,561 |
$258.60 |
| 84480 |
|
42 |
41 |
$257.36 |
| 96376 |
|
3,080 |
2,164 |
$234.45 |
| 86800 |
|
24 |
24 |
$228.26 |
| J2405 |
Ondansetron hcl injection |
13,273 |
11,109 |
$207.32 |
| 83993 |
|
16 |
16 |
$196.30 |
| 85730 |
|
265 |
211 |
$183.83 |
| 87075 |
|
168 |
152 |
$177.94 |
| 84156 |
|
190 |
166 |
$169.29 |
| 73080 |
|
44 |
41 |
$159.12 |
| J0690 |
Cefazolin sodium injection |
3,299 |
2,613 |
$153.62 |
| 80178 |
|
61 |
54 |
$153.35 |
| J1885 |
Ketorolac tromethamine inj |
13,884 |
11,921 |
$152.05 |
| 85018 |
|
245 |
186 |
$150.13 |
| 74018 |
|
44 |
36 |
$149.27 |
| J1100 |
Dexamethasone sodium phos |
6,170 |
5,574 |
$146.94 |
| 87081 |
|
128 |
119 |
$146.75 |
| J2250 |
Inj midazolam hydrochloride |
4,057 |
3,691 |
$143.94 |
| 83721 |
|
39 |
37 |
$140.55 |
| 87880 |
|
328 |
313 |
$128.81 |
| 87469 |
|
14 |
13 |
$114.62 |
| 84165 |
|
27 |
26 |
$111.70 |
| 82310 |
|
94 |
75 |
$111.68 |
| J3010 |
Fentanyl citrate injection |
6,115 |
5,033 |
$102.20 |
| 80143 |
|
259 |
211 |
$100.00 |
| 87046 |
|
51 |
50 |
$96.70 |
| 84481 |
|
13 |
13 |
$93.09 |
| 81015 |
|
111 |
107 |
$89.10 |
| 87045 |
|
50 |
50 |
$87.26 |
| J0689 |
Inj cefazolin sodium, baxter |
1,123 |
990 |
$85.54 |
| 86141 |
|
57 |
56 |
$82.32 |
| 74022 |
|
136 |
126 |
$72.36 |
| 86430 |
|
41 |
39 |
$64.66 |
| 0012A |
|
66 |
66 |
$64.08 |
| 85014 |
|
96 |
71 |
$58.06 |
| 88304 |
|
296 |
275 |
$51.54 |
| 86592 |
|
14 |
14 |
$42.70 |
| 84460 |
|
84 |
40 |
$31.80 |
| 84450 |
|
84 |
40 |
$31.08 |
| 99024 |
|
33 |
30 |
$29.00 |
| 87427 |
|
22 |
12 |
$28.74 |
| C9399 |
Unclassified drugs or biolog |
19 |
17 |
$28.16 |
| G0407 |
Inpt/tele follow up 25 |
47 |
13 |
$27.22 |
| 84132 |
|
51 |
36 |
$24.34 |
| 86666 |
|
37 |
28 |
$24.03 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
743 |
649 |
$21.93 |
| 97535 |
|
64 |
41 |
$21.39 |
| 90715 |
|
1,835 |
1,746 |
$19.01 |
| J1790 |
Droperidol injection |
1,557 |
1,376 |
$17.45 |
| 82140 |
|
28 |
26 |
$14.57 |
| 82150 |
|
24 |
24 |
$14.07 |
| J0696 |
Ceftriaxone sodium injection |
2,111 |
1,511 |
$13.17 |
| J2060 |
Lorazepam injection |
1,428 |
1,153 |
$13.05 |
| 0011A |
|
61 |
61 |
$12.98 |
| J7050 |
Normal saline solution infus |
2,694 |
2,192 |
$12.73 |
| 86753 |
|
13 |
13 |
$11.99 |
| J3480 |
Inj potassium chloride |
325 |
242 |
$10.03 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,917 |
1,788 |
$9.65 |
| J2710 |
Neostigmine methylslfte inj |
309 |
276 |
$6.80 |
| C9113 |
Inj pantoprazole sodium, via |
1,528 |
1,110 |
$4.02 |
| J2001 |
Lidocaine injection |
2,872 |
2,260 |
$3.71 |
| J1200 |
Diphenhydramine hcl injectio |
2,189 |
1,903 |
$2.42 |
| J2765 |
Metoclopramide hcl injection |
715 |
646 |
$1.00 |
| J3420 |
Vitamin b12 injection |
639 |
522 |
$0.50 |
| 3017F |
|
772 |
721 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
684 |
642 |
$0.00 |
| 94760 |
|
250 |
126 |
$0.00 |
| 86850 |
|
26 |
26 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
1,396 |
1,297 |
$0.00 |
| 00813 |
|
454 |
423 |
$0.00 |
| J1170 |
Hydromorphone injection |
1,430 |
1,095 |
$0.00 |
| J3490 |
Drugs unclassified injection |
2,354 |
1,671 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
1,084 |
833 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
602 |
392 |
$0.00 |
| 1036F |
|
1,015 |
946 |
$0.00 |
| 1123F |
|
855 |
805 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
100 |
81 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
69 |
65 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
102 |
88 |
$0.00 |
| 3074F |
|
679 |
646 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
215 |
193 |
$0.00 |
| J2785 |
Regadenoson injection |
385 |
363 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
235 |
206 |
$0.00 |
| J1630 |
Haloperidol injection |
259 |
212 |
$0.00 |
| A9270 |
Non-covered item or service |
12,190 |
3,097 |
$0.00 |
| A9500 |
Tc99m sestamibi |
740 |
687 |
$0.00 |
| J1815 |
Insulin injection |
380 |
109 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
398 |
319 |
$0.00 |
| C1889 |
Implant/insert device, noc |
60 |
59 |
$0.00 |
| J3360 |
Diazepam injection |
20 |
17 |
$0.00 |
| 83615 |
|
13 |
13 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
140 |
125 |
$0.00 |
| 86901 |
|
105 |
100 |
$0.00 |
| G8428 |
Cur meds not document |
15 |
14 |
$0.00 |
| 3044F |
|
24 |
24 |
$0.00 |
| 12001 |
|
53 |
51 |
$0.00 |
| 3079F |
|
48 |
48 |
$0.00 |
| 0064A |
|
15 |
15 |
$0.00 |
| 01400 |
|
42 |
42 |
$0.00 |
| 00790 |
|
12 |
12 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
50 |
49 |
$0.00 |
| 36416 |
|
13 |
12 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
27 |
27 |
$0.00 |
| 12002 |
|
12 |
12 |
$0.00 |
| 87147 |
|
14 |
12 |
$0.00 |
| 1126F |
|
18 |
18 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
13 |
12 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
2,223 |
2,082 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
679 |
634 |
$0.00 |
| 76981 |
|
14 |
12 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
527 |
492 |
$0.00 |
| 73140 |
|
13 |
12 |
$0.00 |
| J2930 |
Methylprednisolone injection |
470 |
405 |
$0.00 |
| J7040 |
Normal saline solution infus |
842 |
707 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
1,542 |
965 |
$0.00 |
| 90472 |
|
819 |
800 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
1,485 |
564 |
$0.00 |
| J0780 |
Prochlorperazine injection |
163 |
142 |
$0.00 |
| C1776 |
Joint device (implantable) |
99 |
91 |
$0.00 |
| 3078F |
|
824 |
787 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
93 |
88 |
$0.00 |
| 3023F |
|
357 |
343 |
$0.00 |
| G8484 |
Flu immunize no admin |
260 |
255 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
538 |
407 |
$0.00 |
| 80179 |
|
203 |
168 |
$0.00 |
| J1020 |
Methylprednisolone 20 mg inj |
64 |
56 |
$0.00 |
| 83037 |
|
18 |
18 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
17 |
12 |
$0.00 |
| 00812 |
|
951 |
915 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
174 |
168 |
$0.00 |
| 1159F |
|
23 |
23 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
53 |
40 |
$0.00 |
| 1090F |
|
135 |
129 |
$0.00 |
| 76942 |
|
13 |
13 |
$0.00 |
| 94664 |
|
61 |
54 |
$0.00 |
| J0735 |
Clonidine hydrochloride |
20 |
15 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
20 |
17 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
380 |
265 |
$0.00 |
| 90750 |
|
16 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
41 |
36 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
118 |
99 |
$0.00 |
| 1160F |
|
23 |
23 |
$0.00 |
| 93325 |
|
12 |
12 |
$0.00 |
| 90734 |
|
16 |
16 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
84 |
25 |
$0.00 |
| 4004F |
|
42 |
39 |
$0.00 |
| 85378 |
|
12 |
12 |
$0.00 |
| J1598 |
Inj glycopyrrolate fres kabi |
25 |
24 |
$0.00 |
| 00520 |
|
17 |
12 |
$0.00 |
| G8978 |
Mobility current status |
52 |
40 |
$0.00 |
| 00840 |
|
14 |
13 |
$0.00 |