| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
149,727 |
141,120 |
$13.76M |
| 99283 |
|
71,361 |
68,942 |
$10.68M |
| 99284 |
|
49,011 |
46,312 |
$9.64M |
| 74177 |
|
11,732 |
11,240 |
$4.99M |
| 99285 |
|
11,465 |
10,778 |
$2.83M |
| 70450 |
|
10,240 |
9,765 |
$2.25M |
| 80053 |
|
109,035 |
95,201 |
$1.95M |
| 99282 |
|
18,111 |
17,758 |
$1.76M |
| 87430 |
|
82,620 |
80,574 |
$1.73M |
| 87400 |
|
63,595 |
53,865 |
$1.47M |
| 87426 |
|
48,890 |
47,489 |
$1.41M |
| 71045 |
|
22,113 |
20,592 |
$1.36M |
| G0378 |
Hospital observation per hr |
3,440 |
3,190 |
$1.26M |
| 93005 |
|
18,738 |
15,919 |
$1.18M |
| 99281 |
|
19,233 |
18,784 |
$1.18M |
| 97110 |
|
19,868 |
5,738 |
$1.03M |
| 93306 |
|
3,001 |
2,936 |
$969K |
| 74176 |
|
3,108 |
2,973 |
$932K |
| 85025 |
|
106,789 |
94,765 |
$910K |
| 71275 |
|
2,291 |
2,204 |
$645K |
| 96365 |
|
9,876 |
8,050 |
$624K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,806 |
1,721 |
$596K |
| 80307 |
|
11,339 |
10,542 |
$582K |
| 71046 |
|
9,531 |
9,209 |
$578K |
| 96375 |
|
21,976 |
20,455 |
$572K |
| 72125 |
|
3,244 |
3,114 |
$571K |
| 43239 |
|
1,526 |
1,474 |
$522K |
| 96361 |
|
16,129 |
15,231 |
$501K |
| 71260 |
|
1,754 |
1,684 |
$443K |
| 95810 |
|
549 |
545 |
$429K |
| 84443 |
|
26,756 |
26,094 |
$375K |
| 76705 |
|
3,513 |
3,360 |
$371K |
| 77067 |
|
2,709 |
2,696 |
$367K |
| 96374 |
|
33,687 |
30,702 |
$353K |
| 95811 |
|
510 |
499 |
$351K |
| 87491 |
|
9,900 |
9,634 |
$349K |
| 87591 |
|
9,880 |
9,614 |
$347K |
| 59025 |
|
3,225 |
2,491 |
$329K |
| 73562 |
|
3,867 |
3,652 |
$328K |
| 87086 |
|
37,384 |
35,045 |
$320K |
| 87070 |
|
21,006 |
20,472 |
$312K |
| 73610 |
|
3,251 |
3,130 |
$301K |
| 80061 |
|
21,754 |
21,414 |
$292K |
| 82306 |
|
9,462 |
9,360 |
$281K |
| 96360 |
|
5,337 |
4,975 |
$272K |
| 86900 |
|
11,564 |
10,201 |
$251K |
| 76801 |
|
2,080 |
1,820 |
$250K |
| J2405 |
Ondansetron hcl injection |
20,334 |
18,041 |
$247K |
| G0283 |
Elec stim other than wound |
14,284 |
4,055 |
$245K |
| 76856 |
|
2,182 |
2,124 |
$243K |
| 73630 |
|
3,562 |
3,410 |
$241K |
| 70496 |
|
924 |
870 |
$240K |
| 70498 |
|
944 |
885 |
$238K |
| 73030 |
|
2,966 |
2,800 |
$237K |
| 76830 |
|
2,152 |
2,111 |
$231K |
| 74018 |
|
3,430 |
3,331 |
$229K |
| 73130 |
|
3,346 |
3,148 |
$228K |
| 36415 |
|
62,423 |
53,422 |
$226K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14,706 |
13,890 |
$222K |
| 94640 |
|
3,687 |
2,966 |
$221K |
| 72148 |
|
797 |
784 |
$214K |
| 78452 |
|
414 |
403 |
$213K |
| 84703 |
|
21,739 |
20,642 |
$207K |
| 76700 |
|
1,986 |
1,953 |
$200K |
| 70486 |
|
962 |
937 |
$195K |
| 93971 |
|
1,975 |
1,887 |
$192K |
| 72100 |
|
2,091 |
2,036 |
$188K |
| 84484 |
|
19,275 |
14,390 |
$172K |
| 0241U |
|
1,683 |
1,644 |
$169K |
| 47562 |
|
63 |
63 |
$168K |
| 73110 |
|
2,292 |
2,224 |
$159K |
| 70551 |
|
473 |
455 |
$157K |
| 96372 |
|
8,266 |
7,732 |
$157K |
| 73721 |
|
444 |
435 |
$154K |
| 93976 |
|
927 |
909 |
$148K |
| 83690 |
|
23,933 |
22,359 |
$139K |
| 86780 |
|
9,605 |
9,426 |
$135K |
| 76641 |
|
1,175 |
956 |
$135K |
| 83036 |
|
16,092 |
15,783 |
$132K |
| 93017 |
|
768 |
752 |
$131K |
| 71250 |
|
867 |
832 |
$124K |
| 80074 |
|
2,829 |
2,784 |
$124K |
| 58661 |
|
40 |
39 |
$121K |
| 93970 |
|
853 |
829 |
$120K |
| 86850 |
|
9,903 |
8,857 |
$118K |
| 76775 |
|
1,046 |
1,009 |
$117K |
| 88305 |
|
1,900 |
1,845 |
$113K |
| 81003 |
|
49,719 |
47,166 |
$113K |
| C9803 |
Hopd covid-19 spec collect |
4,201 |
4,071 |
$113K |
| 45378 |
|
250 |
241 |
$108K |
| 70491 |
|
290 |
283 |
$106K |
| 84702 |
|
6,700 |
5,610 |
$106K |
| 85027 |
|
17,361 |
15,754 |
$104K |
| J1885 |
Ketorolac tromethamine inj |
20,365 |
18,640 |
$103K |
| 77063 |
|
2,704 |
2,692 |
$93K |
| 97161 |
|
2,897 |
2,774 |
$91K |
| 73140 |
|
1,289 |
1,254 |
$90K |
| 86901 |
|
11,546 |
10,183 |
$89K |
| 87186 |
|
6,327 |
6,035 |
$85K |
| 12001 |
|
840 |
821 |
$84K |
| 83880 |
|
3,534 |
3,318 |
$80K |
| 87088 |
|
5,232 |
5,035 |
$78K |
| 96366 |
|
3,175 |
2,805 |
$78K |
| 97530 |
|
3,603 |
1,764 |
$77K |
| 87040 |
|
6,381 |
3,770 |
$77K |
| 80048 |
|
6,424 |
5,941 |
$77K |
| 97112 |
|
2,227 |
1,009 |
$76K |
| 73080 |
|
1,164 |
1,127 |
$75K |
| 95806 |
|
393 |
391 |
$74K |
| 11042 |
|
695 |
422 |
$74K |
| G0475 |
Hiv combination assay |
4,348 |
4,287 |
$73K |
| 90471 |
|
2,476 |
2,414 |
$71K |
| 72040 |
|
844 |
828 |
$71K |
| 88312 |
|
734 |
714 |
$68K |
| 76536 |
|
656 |
646 |
$67K |
| 72131 |
|
322 |
314 |
$65K |
| 73700 |
|
301 |
284 |
$64K |
| 87420 |
|
3,573 |
3,486 |
$63K |
| 84439 |
|
7,664 |
7,514 |
$62K |
| 97140 |
|
2,423 |
1,167 |
$61K |
| 83735 |
|
12,447 |
9,581 |
$59K |
| 82962 |
|
14,167 |
7,613 |
$58K |
| 85610 |
|
13,959 |
12,416 |
$57K |
| 73090 |
|
848 |
812 |
$57K |
| 86803 |
|
4,568 |
4,517 |
$56K |
| 73590 |
|
851 |
803 |
$55K |
| 29125 |
|
383 |
375 |
$52K |
| 76805 |
|
433 |
416 |
$51K |
| 82607 |
|
4,147 |
4,088 |
$51K |
| 82728 |
|
4,433 |
4,346 |
$50K |
| 41899 |
|
908 |
447 |
$50K |
| 83605 |
|
6,259 |
5,179 |
$49K |
| 87653 |
|
1,480 |
1,476 |
$48K |
| 76770 |
|
524 |
508 |
$48K |
| 45380 |
|
123 |
123 |
$48K |
| 86696 |
|
2,359 |
1,551 |
$47K |
| 81001 |
|
16,670 |
15,769 |
$47K |
| 87389 |
|
1,945 |
1,936 |
$47K |
| C1762 |
Conn tiss, human(inc fascia) |
52 |
52 |
$46K |
| J3010 |
Fentanyl citrate injection |
11,601 |
10,186 |
$45K |
| 93458 |
|
31 |
30 |
$44K |
| J1100 |
Dexamethasone sodium phos |
8,701 |
8,028 |
$44K |
| 86762 |
|
3,697 |
3,571 |
$42K |
| 73502 |
|
826 |
791 |
$41K |
| 76819 |
|
287 |
262 |
$41K |
| J2704 |
Inj, propofol, 10 mg |
8,956 |
7,597 |
$40K |
| 84403 |
|
1,682 |
1,664 |
$40K |
| 99153 |
Mod sedat endo service >5yrs |
703 |
673 |
$39K |
| 86787 |
|
3,540 |
3,492 |
$38K |
| 83013 |
|
635 |
628 |
$37K |
| J2250 |
Inj midazolam hydrochloride |
8,416 |
8,068 |
$37K |
| J0690 |
Cefazolin sodium injection |
5,087 |
4,562 |
$36K |
| J0696 |
Ceftriaxone sodium injection |
7,378 |
6,201 |
$36K |
| 90715 |
|
2,394 |
2,339 |
$36K |
| 10060 |
|
407 |
398 |
$35K |
| 82077 |
|
2,752 |
2,497 |
$35K |
| 99291 |
|
99 |
90 |
$34K |
| 87340 |
|
4,085 |
4,047 |
$34K |
| 86695 |
|
2,342 |
1,532 |
$34K |
| 82105 |
|
1,991 |
1,967 |
$32K |
| 31720 |
|
250 |
243 |
$32K |
| 85379 |
|
3,840 |
3,690 |
$32K |
| 87635 |
|
739 |
713 |
$32K |
| 83001 |
|
1,768 |
1,750 |
$31K |
| H0049 |
Alcohol/drug screening |
1,488 |
1,419 |
$31K |
| 85730 |
|
6,108 |
5,588 |
$31K |
| 97165 |
|
1,117 |
1,082 |
$30K |
| 12002 |
|
282 |
278 |
$30K |
| 73221 |
|
102 |
98 |
$30K |
| 84146 |
|
1,588 |
1,572 |
$29K |
| 84402 |
|
1,220 |
1,207 |
$29K |
| 84481 |
|
1,921 |
1,891 |
$29K |
| J2710 |
Neostigmine methylslfte inj |
2,254 |
2,191 |
$29K |
| 84145 |
|
603 |
518 |
$28K |
| 86038 |
|
2,273 |
2,231 |
$27K |
| C1887 |
Catheter, guiding |
207 |
196 |
$27K |
| 76870 |
|
230 |
224 |
$26K |
| 82746 |
|
2,208 |
2,174 |
$26K |
| Q0162 |
Ondansetron oral |
2,694 |
2,609 |
$26K |
| U0003 |
Cov-19 amp prb hgh thruput |
254 |
254 |
$26K |
| 86140 |
|
5,023 |
4,727 |
$26K |
| 12011 |
|
250 |
243 |
$25K |
| 70553 |
|
53 |
51 |
$25K |
| 94770 |
|
210 |
193 |
$24K |
| 82570 |
|
5,700 |
5,298 |
$24K |
| 83002 |
|
1,347 |
1,334 |
$24K |
| 77080 |
|
305 |
300 |
$23K |
| 94727 |
|
248 |
244 |
$23K |
| 83540 |
|
3,417 |
3,301 |
$23K |
| J2274 |
Inj morphine pf epid ithc |
6,137 |
5,453 |
$23K |
| 96413 |
|
141 |
82 |
$23K |
| 82803 |
|
720 |
547 |
$23K |
| 96376 |
|
2,008 |
1,911 |
$22K |
| 45385 |
|
49 |
49 |
$21K |
| 88307 |
|
108 |
106 |
$21K |
| 72072 |
|
205 |
198 |
$20K |
| 82670 |
|
729 |
716 |
$20K |
| 97116 |
|
1,533 |
1,060 |
$20K |
| 84112 |
|
529 |
471 |
$20K |
| 87077 |
|
1,305 |
1,253 |
$19K |
| C1769 |
Guide wire |
804 |
759 |
$19K |
| 94060 |
|
202 |
198 |
$19K |
| J3475 |
Inj magnesium sulfate |
2,644 |
2,361 |
$19K |
| 80143 |
|
1,196 |
1,110 |
$19K |
| 99152 |
|
798 |
754 |
$19K |
| 80179 |
|
1,180 |
1,101 |
$18K |
| J1200 |
Diphenhydramine hcl injectio |
4,358 |
4,013 |
$18K |
| 72141 |
|
64 |
64 |
$17K |
| 84153 |
|
1,082 |
1,060 |
$16K |
| 76857 |
|
204 |
201 |
$16K |
| A9502 |
Tc99m tetrofosmin |
251 |
245 |
$16K |
| M0243 |
Casirivi and imdevi inj |
36 |
36 |
$15K |
| 83525 |
|
1,356 |
1,343 |
$15K |
| 73560 |
|
293 |
271 |
$15K |
| 83550 |
|
2,087 |
2,044 |
$15K |
| Q9957 |
Inj perflutren lip micros,ml |
40 |
38 |
$15K |
| 84156 |
|
3,455 |
3,105 |
$15K |
| 82043 |
|
2,844 |
2,804 |
$14K |
| 82950 |
|
3,152 |
3,138 |
$14K |
| J2060 |
Lorazepam injection |
2,888 |
2,538 |
$14K |
| J2785 |
Regadenoson injection |
194 |
188 |
$14K |
| J1170 |
Hydromorphone injection |
3,600 |
3,057 |
$14K |
| 85652 |
|
5,576 |
5,275 |
$14K |
| 76642 |
|
173 |
171 |
$14K |
| 82247 |
|
2,500 |
1,436 |
$13K |
| 82248 |
|
2,616 |
1,617 |
$13K |
| 84550 |
|
2,695 |
2,398 |
$13K |
| 71100 |
|
219 |
214 |
$13K |
| 36591 |
|
374 |
201 |
$12K |
| J2930 |
Methylprednisolone injection |
1,828 |
1,747 |
$12K |
| P9016 |
Rbc leukocytes reduced |
55 |
39 |
$12K |
| 80050 |
|
789 |
749 |
$12K |
| 87081 |
|
1,679 |
1,644 |
$12K |
| 84480 |
|
998 |
985 |
$12K |
| 82550 |
|
2,285 |
1,890 |
$11K |
| J0330 |
Succinycholine chloride inj |
1,060 |
1,030 |
$11K |
| 82627 |
|
482 |
478 |
$11K |
| J2270 |
Morphine sulfate injection |
2,494 |
2,094 |
$11K |
| 87210 |
|
1,583 |
1,518 |
$11K |
| 0002A |
|
218 |
218 |
$10K |
| C8929 |
Tte w or wo fol wcon,doppler |
29 |
26 |
$10K |
| 95816 |
|
72 |
70 |
$10K |
| 72170 |
|
123 |
119 |
$10K |
| A9579 |
Gad-base mr contrast nos,1ml |
513 |
492 |
$10K |
| 86235 |
|
262 |
139 |
$10K |
| J2765 |
Metoclopramide hcl injection |
2,771 |
2,593 |
$9K |
| 83021 |
|
638 |
634 |
$9K |
| 83615 |
|
1,754 |
1,435 |
$9K |
| 82150 |
|
1,815 |
1,770 |
$9K |
| 73660 |
|
140 |
138 |
$9K |
| 87205 |
|
2,421 |
2,245 |
$9K |
| 87428 |
|
162 |
160 |
$9K |
| C1751 |
Cath, inf, per/cent/midline |
80 |
76 |
$9K |
| 84163 |
|
568 |
565 |
$9K |
| 73552 |
|
155 |
131 |
$9K |
| 94729 |
|
249 |
245 |
$8K |
| 84100 |
|
2,543 |
1,714 |
$8K |
| G0500 |
Mod sedat endo service >5yrs |
72 |
72 |
$8K |
| 73060 |
|
138 |
133 |
$8K |
| 74021 |
|
105 |
102 |
$8K |
| 87660 |
|
329 |
326 |
$8K |
| 87480 |
|
329 |
326 |
$8K |
| 87510 |
|
329 |
326 |
$8K |
| 72110 |
|
77 |
77 |
$8K |
| 36430 |
|
34 |
27 |
$7K |
| C1894 |
Intro/sheath, non-laser |
190 |
170 |
$7K |
| 85007 |
|
2,432 |
2,165 |
$7K |
| 86431 |
|
1,427 |
1,406 |
$7K |
| 80076 |
|
886 |
871 |
$7K |
| 97162 |
|
211 |
201 |
$7K |
| 87899 |
|
201 |
170 |
$7K |
| 82553 |
|
888 |
717 |
$7K |
| C9113 |
Inj pantoprazole sodium, via |
1,637 |
1,303 |
$6K |
| C1781 |
Mesh (implantable) |
26 |
26 |
$6K |
| 86141 |
|
544 |
533 |
$6K |
| J0780 |
Prochlorperazine injection |
921 |
883 |
$6K |
| 86376 |
|
410 |
403 |
$5K |
| 87522 |
Neg quan hep c or qual rna |
85 |
84 |
$5K |
| 73120 |
|
43 |
39 |
$5K |
| C1725 |
Cath, translumin non-laser |
83 |
76 |
$5K |
| D2929 |
|
25 |
25 |
$5K |
| J2543 |
Piperacillin/tazobactam |
1,022 |
788 |
$5K |
| J1756 |
Iron sucrose injection |
205 |
86 |
$4K |
| 76882 |
|
43 |
41 |
$4K |
| 92507 |
|
104 |
38 |
$4K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,090 |
967 |
$4K |
| 82565 |
|
1,080 |
1,054 |
$4K |
| 86160 |
|
345 |
183 |
$4K |
| 82784 |
|
466 |
436 |
$4K |
| 83970 |
|
126 |
125 |
$4K |
| H0050 |
Alcohol/drug service 15 min |
82 |
81 |
$4K |
| 87902 |
|
14 |
14 |
$4K |
| 84425 |
|
227 |
223 |
$4K |
| J0360 |
Hydralazine hcl injection |
280 |
232 |
$4K |
| 82626 |
|
151 |
151 |
$4K |
| 92523 |
|
48 |
41 |
$4K |
| 92610 |
|
66 |
61 |
$4K |
| J2795 |
Ropivacaine hcl injection |
581 |
508 |
$4K |
| 86225 |
|
249 |
246 |
$3K |
| 82947 |
|
868 |
809 |
$3K |
| 70460 |
|
13 |
13 |
$3K |
| J3301 |
Triamcinolone acet inj nos |
373 |
363 |
$3K |
| 83655 |
|
291 |
286 |
$3K |
| 86003 |
|
38 |
37 |
$3K |
| 87209 |
|
141 |
135 |
$3K |
| 87045 |
|
305 |
294 |
$3K |
| 86200 |
|
276 |
274 |
$3K |
| 0240U |
|
146 |
144 |
$3K |
| 74022 |
|
39 |
38 |
$3K |
| 88342 |
|
44 |
42 |
$3K |
| 73200 |
|
13 |
13 |
$3K |
| J2360 |
Orphenadrine injection |
466 |
453 |
$3K |
| 86480 |
|
49 |
48 |
$3K |
| 85018 |
|
1,279 |
1,151 |
$3K |
| 83498 |
|
100 |
98 |
$3K |
| 97035 |
|
169 |
68 |
$3K |
| J1650 |
Inj enoxaparin sodium |
648 |
379 |
$2K |
| 51702 |
|
38 |
36 |
$2K |
| 85014 |
|
1,089 |
1,013 |
$2K |
| 82140 |
|
246 |
211 |
$2K |
| J3370 |
Vancomycin hcl injection |
321 |
275 |
$2K |
| 36592 |
|
48 |
24 |
$2K |
| 86308 |
|
337 |
332 |
$2K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
361 |
350 |
$2K |
| 93925 |
|
26 |
25 |
$2K |
| 73620 |
|
27 |
26 |
$2K |
| 86364 |
|
176 |
172 |
$2K |
| 86328 |
|
140 |
137 |
$2K |
| J7030 |
Normal saline solution infus |
589 |
441 |
$2K |
| 96367 |
|
123 |
120 |
$2K |
| 86800 |
|
122 |
121 |
$2K |
| 97535 |
|
114 |
101 |
$2K |
| 87493 |
|
50 |
49 |
$2K |
| 87177 |
|
141 |
135 |
$2K |
| 86592 |
|
342 |
297 |
$2K |
| 85041 |
|
628 |
624 |
$2K |
| 82272 |
|
397 |
378 |
$1K |
| J2370 |
Phenylephrine hcl injection |
287 |
263 |
$1K |
| J8540 |
Oral dexamethasone |
989 |
959 |
$1K |
| J7040 |
Normal saline solution infus |
384 |
342 |
$1K |
| 84132 |
|
362 |
286 |
$1K |
| 87075 |
|
128 |
117 |
$1K |
| J2550 |
Promethazine hcl injection |
297 |
287 |
$1K |
| 84450 |
|
222 |
219 |
$1K |
| J0500 |
Dicyclomine injection |
115 |
112 |
$1K |
| 84460 |
|
205 |
203 |
$1K |
| 74240 |
|
12 |
12 |
$947.55 |
| 36600 |
|
99 |
74 |
$920.61 |
| 86255 |
|
42 |
41 |
$918.56 |
| J2919 |
Inj, methylpred sod succ 5mg |
308 |
265 |
$908.98 |
| J2175 |
Meperidine hydrochl /100 mg |
319 |
306 |
$897.19 |
| J3411 |
Thiamine hcl 100 mg |
207 |
177 |
$835.87 |
| 72081 |
|
12 |
12 |
$827.20 |
| J3360 |
Diazepam injection |
176 |
168 |
$810.01 |
| J1953 |
Levetiracetam injection |
27 |
25 |
$789.71 |
| 80164 |
|
72 |
64 |
$708.52 |
| 88304 |
|
26 |
26 |
$689.07 |
| 99214 |
|
250 |
222 |
$688.77 |
| 84436 |
|
93 |
91 |
$681.98 |
| J0736 |
Inj, clindamycin phosp 300mg |
151 |
141 |
$680.43 |
| 86706 |
|
42 |
40 |
$664.76 |
| 82951 |
|
40 |
40 |
$640.68 |
| 83516 |
|
64 |
62 |
$635.50 |
| J1630 |
Haloperidol injection |
106 |
103 |
$579.09 |
| J2470 |
Inj pantoprazole sodium 40mg |
206 |
184 |
$554.59 |
| 83721 |
|
62 |
62 |
$521.07 |
| 86665 |
|
12 |
12 |
$469.87 |
| 82525 |
|
40 |
39 |
$465.09 |
| 96368 |
|
85 |
81 |
$452.81 |
| 85045 |
|
72 |
67 |
$427.14 |
| 84630 |
|
53 |
52 |
$418.01 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
137 |
116 |
$387.89 |
| J1956 |
Levofloxacin injection |
121 |
113 |
$350.06 |
| J3480 |
Inj potassium chloride |
114 |
82 |
$322.66 |
| G0008 |
Admin influenza virus vac |
18 |
17 |
$312.20 |
| 84590 |
|
43 |
42 |
$306.42 |
| 82009 |
|
71 |
70 |
$264.01 |
| 82533 |
|
15 |
13 |
$263.50 |
| 84520 |
|
126 |
117 |
$260.32 |
| 83520 |
|
12 |
12 |
$213.75 |
| 90686 |
|
17 |
16 |
$212.02 |
| 86704 |
|
13 |
13 |
$211.80 |
| 82977 |
|
28 |
28 |
$194.58 |
| 85049 |
|
67 |
64 |
$193.15 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
802 |
764 |
$185.60 |
| 82330 |
|
16 |
15 |
$178.49 |
| 87338 |
|
12 |
12 |
$168.94 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
13 |
13 |
$160.86 |
| 82390 |
|
14 |
14 |
$145.91 |
| J0171 |
Adrenalin epinephrine inject |
18 |
18 |
$134.35 |
| 80069 |
|
13 |
12 |
$94.98 |
| J2920 |
Methylprednisolone injection |
15 |
13 |
$76.12 |
| 99213 |
|
115 |
102 |
$75.82 |
| 84295 |
|
14 |
14 |
$59.48 |
| J0694 |
Cefoxitin sodium injection |
32 |
27 |
$55.64 |
| J1790 |
Droperidol injection |
13 |
13 |
$48.17 |
| G2011 |
Alcohol/sub misuse assess |
39 |
38 |
$47.37 |
| J1940 |
Furosemide injection |
23 |
13 |
$19.19 |
| J1836 |
Inj, metronidazole, 10 mg |
65 |
45 |
$6.12 |
| 91300 |
|
217 |
217 |
$0.79 |
| G8980 |
Mobility d/c status |
131 |
117 |
$0.00 |
| G8986 |
Carry d/c status |
14 |
14 |
$0.00 |
| G8984 |
Carry current status |
106 |
103 |
$0.00 |
| G8979 |
Mobility goal status |
442 |
411 |
$0.00 |
| G8985 |
Carry goal status |
141 |
134 |
$0.00 |
| G8978 |
Mobility current status |
364 |
344 |
$0.00 |
| 99408 |
|
14 |
13 |
$0.00 |