| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
277,769 |
258,434 |
$31.95M |
| 99213 |
|
299,441 |
277,655 |
$24.42M |
| 99204 |
|
52,775 |
51,506 |
$8.52M |
| 99284 |
|
46,355 |
44,805 |
$5.80M |
| 99203 |
|
45,952 |
45,339 |
$5.00M |
| 93306 |
|
29,412 |
28,960 |
$3.94M |
| 88305 |
|
35,377 |
34,820 |
$3.84M |
| 99283 |
|
48,912 |
47,059 |
$3.59M |
| 76816 |
|
24,736 |
23,024 |
$2.91M |
| 99232 |
|
31,965 |
10,316 |
$2.68M |
| 99215 |
Prolong outpt/office vis |
16,341 |
15,088 |
$2.67M |
| 77067 |
|
22,015 |
22,001 |
$2.45M |
| 74177 |
|
15,464 |
14,988 |
$1.92M |
| 70553 |
|
6,146 |
5,970 |
$1.89M |
| 99233 |
Prolong inpt eval add15 m |
13,907 |
4,644 |
$1.86M |
| 76817 |
|
17,598 |
16,589 |
$1.66M |
| 99291 |
|
5,320 |
1,973 |
$1.64M |
| 99285 |
|
8,842 |
8,239 |
$1.59M |
| 76819 |
|
16,743 |
13,259 |
$1.41M |
| 76700 |
|
15,118 |
14,771 |
$1.38M |
| 99223 |
Prolong inpt eval add15 m |
6,596 |
4,885 |
$1.23M |
| 99392 |
|
12,904 |
12,854 |
$1.22M |
| 70551 |
|
6,115 |
5,919 |
$1.17M |
| 99391 |
|
13,496 |
12,822 |
$1.14M |
| 31231 |
|
5,264 |
5,153 |
$1.13M |
| 99205 |
Prolong outpt/office vis |
6,037 |
5,822 |
$1.11M |
| 99238 |
|
14,134 |
13,905 |
$1.08M |
| 93000 |
|
70,532 |
69,309 |
$1.05M |
| 93010 |
|
130,964 |
109,632 |
$1.01M |
| 77063 |
|
20,278 |
20,267 |
$993K |
| 43239 |
|
6,334 |
6,318 |
$976K |
| 76830 |
|
10,254 |
10,069 |
$965K |
| 76641 |
|
9,743 |
7,490 |
$963K |
| 99222 |
|
7,733 |
6,279 |
$956K |
| 71046 |
|
49,620 |
47,947 |
$954K |
| 71045 |
|
114,022 |
71,503 |
$928K |
| 76815 |
|
11,307 |
9,497 |
$898K |
| 99396 |
|
6,219 |
6,074 |
$853K |
| 99460 |
|
8,546 |
8,518 |
$829K |
| 74183 |
|
2,200 |
2,159 |
$829K |
| 59400 |
|
257 |
257 |
$785K |
| 99393 |
|
8,150 |
8,133 |
$784K |
| 99212 |
|
17,142 |
15,768 |
$763K |
| 71250 |
|
7,000 |
6,602 |
$722K |
| 99282 |
|
14,888 |
14,185 |
$710K |
| 90460 |
|
31,289 |
31,015 |
$704K |
| 72148 |
|
3,519 |
3,412 |
$678K |
| 45380 |
|
3,294 |
3,260 |
$662K |
| 99239 |
|
5,949 |
5,834 |
$645K |
| 93970 |
|
5,468 |
5,253 |
$618K |
| 73721 |
|
2,687 |
2,483 |
$616K |
| 78452 |
|
2,229 |
2,226 |
$603K |
| 76536 |
|
5,674 |
5,570 |
$561K |
| 99395 |
|
4,374 |
4,305 |
$556K |
| 70450 |
|
14,642 |
13,413 |
$539K |
| 72197 |
|
1,350 |
1,330 |
$519K |
| 92014 |
|
4,692 |
4,606 |
$487K |
| 92004 |
|
5,312 |
5,260 |
$487K |
| 99385 |
|
3,192 |
3,129 |
$427K |
| 31575 |
|
3,021 |
2,943 |
$397K |
| 76770 |
|
4,365 |
4,278 |
$384K |
| 71260 |
|
3,165 |
3,071 |
$374K |
| 99386 |
|
2,434 |
2,392 |
$366K |
| 72141 |
|
1,725 |
1,700 |
$346K |
| 93975 |
|
2,319 |
2,232 |
$336K |
| 88307 |
|
3,049 |
2,983 |
$334K |
| 76856 |
|
4,674 |
4,630 |
$333K |
| 95720 |
|
1,236 |
693 |
$330K |
| 73562 |
|
10,390 |
8,328 |
$315K |
| 36415 |
|
152,374 |
145,984 |
$308K |
| 88312 |
|
2,509 |
2,456 |
$298K |
| 94060 |
|
7,114 |
7,031 |
$297K |
| 77062 |
|
1,323 |
1,322 |
$292K |
| 97110 |
|
7,528 |
2,902 |
$291K |
| 92134 |
|
7,191 |
6,932 |
$275K |
| 74018 |
|
29,435 |
13,326 |
$273K |
| 99221 |
|
2,915 |
2,491 |
$262K |
| 45385 |
|
946 |
942 |
$261K |
| G2066 |
Inter devc remote 30d |
1,542 |
1,531 |
$246K |
| 94729 |
|
5,130 |
5,122 |
$245K |
| 99231 |
|
5,601 |
2,968 |
$240K |
| 99202 |
|
3,504 |
3,486 |
$240K |
| 73221 |
|
1,003 |
942 |
$239K |
| 94726 |
|
5,251 |
5,242 |
$234K |
| 76805 |
|
1,511 |
1,506 |
$229K |
| 74176 |
|
2,042 |
1,972 |
$228K |
| 92012 |
|
2,586 |
2,436 |
$219K |
| 93458 |
|
670 |
668 |
$216K |
| 99394 |
|
1,900 |
1,893 |
$212K |
| 90792 |
|
1,387 |
1,250 |
$207K |
| 93303 |
|
1,844 |
1,635 |
$199K |
| A9585 |
Gadobutrol injection |
9,293 |
7,055 |
$198K |
| 99472 |
|
288 |
36 |
$196K |
| 73630 |
|
7,852 |
6,723 |
$191K |
| 88342 |
|
3,381 |
3,251 |
$188K |
| 77066 |
Tomosynthesis, mammo |
1,648 |
1,639 |
$185K |
| 77065 |
Tomosynthesis, mammo |
1,903 |
1,793 |
$181K |
| 77061 |
|
910 |
902 |
$180K |
| 93880 |
|
1,078 |
1,074 |
$177K |
| 71275 |
|
1,631 |
1,571 |
$167K |
| 93015 |
|
2,171 |
2,155 |
$163K |
| 78815 |
|
448 |
435 |
$156K |
| 95004 |
|
1,912 |
1,905 |
$153K |
| 99462 |
|
3,351 |
3,075 |
$141K |
| 88341 |
|
1,353 |
1,267 |
$141K |
| 93976 |
|
1,286 |
1,259 |
$135K |
| 87636 |
|
509 |
506 |
$130K |
| 90471 |
|
7,625 |
7,491 |
$123K |
| 70544 |
|
576 |
557 |
$118K |
| 45378 |
|
534 |
534 |
$113K |
| 73030 |
|
4,859 |
4,437 |
$110K |
| 70543 |
|
289 |
286 |
$109K |
| 95951 |
|
259 |
161 |
$109K |
| 76642 |
|
1,866 |
1,778 |
$107K |
| 72100 |
|
3,510 |
3,456 |
$106K |
| A9500 |
Tc99m sestamibi |
461 |
460 |
$106K |
| 72156 |
|
376 |
370 |
$103K |
| 73564 |
|
2,821 |
2,475 |
$102K |
| 76705 |
|
2,812 |
2,698 |
$102K |
| 93971 |
|
1,736 |
1,630 |
$100K |
| 0002A |
|
2,665 |
2,663 |
$100K |
| 77427 |
|
484 |
214 |
$96K |
| S2083 |
Adjustment gastric band |
1,227 |
1,172 |
$94K |
| 73130 |
|
4,034 |
3,444 |
$91K |
| 76801 |
|
688 |
674 |
$90K |
| 70486 |
|
1,083 |
1,067 |
$90K |
| 88304 |
|
2,606 |
2,578 |
$87K |
| 93298 |
|
2,571 |
2,554 |
$84K |
| 0001A |
|
2,514 |
2,513 |
$84K |
| 93320 |
|
2,960 |
2,599 |
$83K |
| 73610 |
|
4,156 |
3,786 |
$82K |
| 77080 |
|
2,624 |
2,615 |
$80K |
| 72125 |
|
1,691 |
1,638 |
$79K |
| 87880 |
|
5,189 |
4,885 |
$79K |
| 76813 |
|
582 |
577 |
$77K |
| 92060 |
|
1,087 |
1,081 |
$72K |
| 90674 |
|
2,683 |
2,670 |
$72K |
| 20610 |
|
1,032 |
987 |
$72K |
| 95810 |
|
149 |
148 |
$72K |
| 97140 |
|
2,789 |
1,151 |
$70K |
| 69210 |
|
1,554 |
1,537 |
$69K |
| 93325 |
|
9,714 |
8,084 |
$69K |
| 10040 |
|
525 |
522 |
$69K |
| 92083 |
|
1,038 |
1,025 |
$68K |
| 93224 |
|
795 |
793 |
$67K |
| 92552 |
|
1,753 |
1,752 |
$66K |
| 72082 |
|
2,052 |
2,019 |
$64K |
| 99152 |
|
2,503 |
2,398 |
$64K |
| 93304 |
|
1,506 |
1,045 |
$63K |
| 99469 |
|
147 |
37 |
$62K |
| 93016 |
|
2,883 |
2,873 |
$61K |
| 76818 |
|
470 |
336 |
$61K |
| 73560 |
|
2,433 |
2,156 |
$61K |
| 76811 |
|
312 |
311 |
$60K |
| 73502 |
|
2,341 |
2,252 |
$58K |
| 96372 |
|
2,599 |
2,135 |
$54K |
| 74220 |
|
524 |
513 |
$53K |
| 92557 |
|
1,485 |
1,465 |
$52K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,554 |
3,425 |
$52K |
| 93923 |
|
525 |
518 |
$51K |
| 81002 |
|
15,501 |
13,729 |
$51K |
| 73110 |
|
2,459 |
2,105 |
$50K |
| 72157 |
|
166 |
165 |
$50K |
| 92526 |
|
606 |
346 |
$49K |
| 90791 |
|
301 |
297 |
$49K |
| 88173 |
|
309 |
306 |
$49K |
| 84165 |
|
3,014 |
2,795 |
$48K |
| 99243 |
|
341 |
341 |
$47K |
| 90461 |
|
1,354 |
1,349 |
$46K |
| 92133 |
|
1,192 |
1,186 |
$45K |
| 90833 |
|
751 |
480 |
$44K |
| 75574 |
|
150 |
149 |
$43K |
| 95165 |
|
1,144 |
705 |
$43K |
| 76870 |
|
660 |
644 |
$43K |
| 0012A |
|
1,039 |
1,038 |
$41K |
| 93018 |
|
2,886 |
2,878 |
$41K |
| 0011A |
|
1,152 |
1,152 |
$40K |
| 76820 |
|
836 |
673 |
$40K |
| 72040 |
|
1,227 |
1,196 |
$39K |
| 54300 |
|
52 |
52 |
$39K |
| 71271 |
|
232 |
232 |
$37K |
| 93299 |
|
183 |
182 |
$37K |
| 92511 |
|
323 |
279 |
$36K |
| 92250 |
|
928 |
877 |
$36K |
| 93793 |
|
4,237 |
2,638 |
$34K |
| 86334 |
|
2,077 |
1,914 |
$33K |
| 87804 |
|
1,586 |
1,122 |
$33K |
| J0585 |
Injection,onabotulinumtoxina |
42 |
38 |
$33K |
| 76825 |
|
370 |
352 |
$32K |
| 90651 |
|
111 |
111 |
$31K |
| 95806 |
|
497 |
492 |
$30K |
| 77072 |
|
1,156 |
1,156 |
$30K |
| 99406 |
|
1,754 |
1,688 |
$29K |
| 77014 |
|
575 |
54 |
$29K |
| 95886 |
|
250 |
247 |
$29K |
| 94010 |
|
1,761 |
1,652 |
$28K |
| 67028 |
|
319 |
310 |
$27K |
| 72158 |
|
134 |
133 |
$27K |
| 74174 |
|
161 |
150 |
$26K |
| 70491 |
|
187 |
183 |
$26K |
| 70496 |
|
261 |
253 |
$26K |
| 74178 |
|
87 |
87 |
$26K |
| 31579 |
|
124 |
123 |
$26K |
| 97530 |
|
466 |
214 |
$25K |
| 11056 |
|
666 |
663 |
$24K |
| 92202 |
|
1,834 |
1,792 |
$24K |
| 51798 |
|
2,066 |
2,017 |
$24K |
| 73718 |
|
91 |
77 |
$23K |
| 90715 |
|
680 |
677 |
$23K |
| 72110 |
|
619 |
613 |
$23K |
| 72131 |
|
334 |
326 |
$23K |
| 73080 |
|
1,369 |
1,271 |
$23K |
| 99464 |
|
324 |
323 |
$22K |
| 92551 |
|
1,570 |
1,569 |
$22K |
| 92226 |
|
556 |
511 |
$21K |
| 91320 |
|
226 |
226 |
$21K |
| 46600 |
|
158 |
157 |
$21K |
| 0004A |
|
489 |
489 |
$21K |
| 73590 |
|
1,700 |
1,513 |
$21K |
| 72146 |
|
121 |
117 |
$20K |
| 54161 |
|
130 |
130 |
$19K |
| 99480 |
|
146 |
66 |
$19K |
| 69436 |
|
74 |
74 |
$18K |
| 88313 |
|
387 |
377 |
$18K |
| 59025 |
|
496 |
244 |
$18K |
| 93321 |
|
2,029 |
1,417 |
$17K |
| 0064A |
|
458 |
458 |
$17K |
| 95251 |
|
512 |
506 |
$17K |
| 77073 |
|
875 |
872 |
$17K |
| 92567 |
|
930 |
923 |
$17K |
| 76882 |
|
470 |
442 |
$16K |
| 11721 |
|
646 |
640 |
$16K |
| 64615 |
|
100 |
100 |
$16K |
| 95816 |
|
104 |
103 |
$16K |
| 70498 |
|
193 |
187 |
$16K |
| 99442 |
|
261 |
247 |
$16K |
| 88189 |
|
237 |
228 |
$16K |
| 93296 |
|
1,424 |
1,417 |
$15K |
| 93454 |
|
65 |
65 |
$15K |
| 72170 |
|
1,266 |
1,240 |
$15K |
| 92550 |
|
669 |
655 |
$14K |
| 90686 |
|
4,383 |
4,360 |
$14K |
| 76857 |
|
341 |
324 |
$14K |
| 73140 |
|
738 |
666 |
$14K |
| 93295 |
|
438 |
438 |
$13K |
| 95012 |
|
1,295 |
1,274 |
$13K |
| G0452 |
Molecular pathology interpr |
298 |
272 |
$13K |
| 81025 |
|
1,588 |
1,556 |
$13K |
| 97112 |
|
365 |
134 |
$13K |
| G2211 |
Complex e/m visit add on |
1,620 |
1,531 |
$13K |
| 95117 |
|
994 |
602 |
$12K |
| 99417 |
Prolong home eval add 15m |
236 |
233 |
$12K |
| 92588 |
|
378 |
371 |
$12K |
| 11042 |
|
111 |
98 |
$12K |
| 76827 |
|
370 |
352 |
$11K |
| Q0091 |
Obtaining screen pap smear |
436 |
432 |
$11K |
| 76376 |
|
579 |
571 |
$11K |
| 76821 |
|
127 |
103 |
$11K |
| 90935 |
|
291 |
102 |
$10K |
| 73090 |
|
935 |
841 |
$10K |
| 96365 |
|
215 |
101 |
$10K |
| 72050 |
|
218 |
216 |
$9K |
| 92201 |
|
398 |
393 |
$9K |
| 11057 |
|
385 |
382 |
$9K |
| 95938 |
|
202 |
194 |
$9K |
| 92928 |
|
12 |
12 |
$8K |
| 99218 |
|
81 |
77 |
$8K |
| 73700 |
|
103 |
94 |
$8K |
| T1013 |
Sign lang/oral interpreter |
493 |
477 |
$8K |
| 92504 |
|
286 |
279 |
$8K |
| 72070 |
|
292 |
289 |
$8K |
| 90480 |
|
267 |
267 |
$8K |
| G0399 |
Home sleep test/type 3 porta |
97 |
96 |
$7K |
| 51741 |
|
561 |
540 |
$7K |
| 87428 |
|
166 |
166 |
$7K |
| 99443 |
|
69 |
63 |
$7K |
| 77300 |
|
51 |
38 |
$7K |
| 92015 |
|
4,400 |
4,133 |
$7K |
| 46221 |
|
24 |
24 |
$6K |
| 11720 |
|
372 |
369 |
$6K |
| 59430 |
|
28 |
28 |
$6K |
| 99401 |
|
224 |
224 |
$6K |
| 29540 |
|
275 |
176 |
$6K |
| 82962 |
|
2,198 |
2,067 |
$6K |
| 90750 |
|
37 |
37 |
$6K |
| 87426 |
|
161 |
159 |
$6K |
| 73552 |
|
408 |
372 |
$6K |
| 90834 |
|
56 |
27 |
$5K |
| 95939 |
|
54 |
52 |
$5K |
| 90832 |
|
112 |
91 |
$5K |
| 88112 |
|
185 |
176 |
$5K |
| 99153 |
Mod sedat endo service >5yrs |
259 |
249 |
$5K |
| 98926 |
|
92 |
90 |
$5K |
| 72195 |
|
28 |
28 |
$5K |
| 20611 |
|
38 |
37 |
$5K |
| 77263 |
|
25 |
25 |
$5K |
| 96366 |
|
175 |
81 |
$4K |
| 99281 |
|
174 |
135 |
$4K |
| 77334 |
|
29 |
25 |
$4K |
| 99211 |
|
230 |
194 |
$4K |
| 93294 |
|
457 |
452 |
$4K |
| 0054A |
|
101 |
101 |
$4K |
| 92604 |
|
39 |
38 |
$4K |
| 99217 |
|
48 |
47 |
$4K |
| 90662 |
|
122 |
122 |
$4K |
| 99397 |
|
53 |
51 |
$4K |
| 73060 |
|
285 |
266 |
$4K |
| 3074F |
|
2,995 |
2,911 |
$4K |
| 51784 |
|
59 |
59 |
$4K |
| 99463 |
|
28 |
28 |
$3K |
| J3301 |
Triamcinolone acet inj nos |
1,068 |
1,040 |
$3K |
| 99244 |
|
16 |
16 |
$3K |
| 90682 |
|
54 |
54 |
$3K |
| 76942 |
|
69 |
69 |
$3K |
| 10005 |
|
29 |
28 |
$3K |
| 0031A |
|
95 |
95 |
$3K |
| 0003A |
|
76 |
76 |
$3K |
| 95800 |
|
53 |
53 |
$3K |
| 97802 |
|
39 |
39 |
$3K |
| 88172 |
|
42 |
41 |
$3K |
| 90661 |
|
129 |
129 |
$3K |
| 92025 |
|
105 |
104 |
$3K |
| 76937 |
|
124 |
121 |
$3K |
| 3078F |
|
2,127 |
2,068 |
$3K |
| 99173 |
|
2,878 |
2,868 |
$3K |
| 17110 |
|
25 |
25 |
$3K |
| 95861 |
|
42 |
39 |
$3K |
| 11755 |
|
24 |
24 |
$3K |
| 90472 |
|
163 |
161 |
$2K |
| 96127 |
|
408 |
406 |
$2K |
| 96132 |
|
27 |
27 |
$2K |
| 96110 |
|
1,494 |
1,487 |
$2K |
| 86580 |
|
243 |
243 |
$2K |
| 73620 |
|
151 |
124 |
$2K |
| 73522 |
|
60 |
60 |
$2K |
| 00731 |
|
12 |
12 |
$2K |
| 57454 |
|
14 |
14 |
$2K |
| 74181 |
|
13 |
13 |
$2K |
| 10060 |
|
14 |
14 |
$2K |
| 73100 |
|
107 |
89 |
$2K |
| 92507 |
|
28 |
26 |
$2K |
| 0072A |
|
38 |
38 |
$2K |
| 99497 |
|
35 |
24 |
$2K |
| 72128 |
|
44 |
42 |
$2K |
| 94727 |
|
41 |
41 |
$2K |
| 96139 |
|
37 |
37 |
$1K |
| 87624 |
|
37 |
37 |
$1K |
| 88108 |
|
53 |
39 |
$1K |
| 93925 |
|
50 |
50 |
$1K |
| 83036 |
|
152 |
152 |
$1K |
| 54450 |
|
25 |
25 |
$1K |
| 74019 |
|
92 |
90 |
$1K |
| 96138 |
|
40 |
40 |
$1K |
| 0071A |
|
28 |
28 |
$1K |
| 99441 |
|
34 |
31 |
$1K |
| 11102 |
|
13 |
13 |
$1K |
| 86335 |
|
66 |
63 |
$1K |
| 90677 |
|
65 |
65 |
$1K |
| 90756 |
|
32 |
32 |
$1K |
| J2785 |
Regadenoson injection |
26 |
26 |
$1K |
| 88187 |
|
37 |
37 |
$1K |
| 81001 |
|
319 |
298 |
$1K |
| 99457 |
|
94 |
92 |
$999.87 |
| 85018 |
|
364 |
364 |
$990.55 |
| 99459 |
|
48 |
48 |
$914.48 |
| 73120 |
|
51 |
42 |
$902.74 |
| 93244 |
|
43 |
42 |
$850.79 |
| 77001 |
|
13 |
12 |
$759.55 |
| 80305 |
|
67 |
63 |
$753.47 |
| 95115 |
|
64 |
49 |
$749.63 |
| L3908 |
Who cock-up nonmolde pre ots |
13 |
12 |
$699.15 |
| L3995 |
Sock fracture or equal each |
14 |
13 |
$694.24 |
| 97803 |
|
12 |
12 |
$666.21 |
| 3079F |
|
287 |
278 |
$640.00 |
| 83020 |
|
29 |
29 |
$626.24 |
| 94760 |
|
1,419 |
1,346 |
$556.74 |
| 11900 |
|
14 |
14 |
$537.93 |
| 94664 |
|
76 |
74 |
$521.67 |
| 99451 |
|
12 |
12 |
$485.67 |
| J3420 |
Vitamin b12 injection |
492 |
388 |
$447.93 |
| 72202 |
|
12 |
12 |
$429.59 |
| 99201 |
|
15 |
14 |
$421.30 |
| 96112 |
|
14 |
12 |
$400.50 |
| G0008 |
Admin influenza virus vac |
136 |
136 |
$397.22 |
| 85060 |
|
14 |
13 |
$395.04 |
| G0283 |
Elec stim other than wound |
94 |
42 |
$388.54 |
| 90688 |
|
87 |
87 |
$382.49 |
| 99454 |
|
16 |
15 |
$369.43 |
| 83986 |
|
125 |
122 |
$363.67 |
| 81003 |
|
220 |
202 |
$360.65 |
| 94618 |
|
27 |
27 |
$350.24 |
| 88141 |
|
13 |
13 |
$318.31 |
| 99407 |
|
12 |
12 |
$317.83 |
| 73600 |
|
35 |
34 |
$299.03 |
| 83014 |
|
34 |
34 |
$267.24 |
| J0702 |
Betamethasone acet&sod phosp |
12 |
12 |
$229.15 |
| 87110 |
|
16 |
16 |
$225.74 |
| G0127 |
Trim nail(s) |
211 |
211 |
$195.15 |
| 88311 |
|
13 |
13 |
$188.76 |
| 99000 |
|
68 |
65 |
$166.17 |
| 83655 |
|
12 |
12 |
$166.14 |
| 73070 |
|
12 |
12 |
$151.82 |
| 93798 |
|
19 |
12 |
$151.80 |
| 88720 |
|
58 |
39 |
$148.09 |
| 93242 |
|
30 |
29 |
$133.08 |
| 88387 |
|
15 |
13 |
$131.35 |
| 11719 |
|
28 |
28 |
$124.77 |
| 81000 |
|
32 |
32 |
$124.17 |
| 94200 |
|
13 |
13 |
$89.65 |
| J1100 |
Dexamethasone sodium phos |
140 |
133 |
$85.85 |
| 90656 |
|
426 |
426 |
$69.41 |
| 36416 |
|
138 |
138 |
$42.40 |
| 99174 |
|
144 |
144 |
$37.51 |
| 93280 |
|
12 |
12 |
$29.95 |
| 3044F |
|
223 |
223 |
$20.00 |
| S0020 |
Injection, bupivicaine hydro |
27 |
25 |
$12.46 |
| 99177 |
|
29 |
29 |
$9.13 |
| 90694 |
|
26 |
26 |
$5.62 |
| J7613 |
Albuterol non-comp unit |
84 |
83 |
$5.57 |
| 91300 |
|
806 |
786 |
$2.20 |
| 91307 |
|
148 |
142 |
$0.45 |
| 91306 |
|
423 |
423 |
$0.43 |
| 91305 |
|
90 |
86 |
$0.26 |
| J2001 |
Lidocaine injection |
27 |
25 |
$0.10 |
| 91301 |
|
143 |
142 |
$0.04 |
| 97010 |
|
30 |
12 |
$0.00 |
| 90698 |
|
562 |
561 |
$0.00 |
| 99024 |
|
897 |
768 |
$0.00 |
| 91303 |
|
12 |
12 |
$0.00 |
| 90744 |
|
38 |
38 |
$0.00 |
| 90680 |
|
183 |
183 |
$0.00 |
| 90670 |
|
478 |
478 |
$0.00 |
| 99080 |
|
1,589 |
324 |
$0.00 |
| 90685 |
|
225 |
225 |
$0.00 |
| G1004 |
Cdsm ndsc |
765 |
686 |
$0.00 |
| 99499 |
|
3,431 |
2,514 |
$0.00 |
| 99001 |
|
91 |
91 |
$0.00 |
| 3077F |
|
43 |
43 |
$0.00 |