| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
44,261 |
39,711 |
$6.41M |
| 99283 |
|
38,377 |
35,664 |
$5.63M |
| 96361 |
|
13,338 |
11,732 |
$4.59M |
| 99285 |
|
27,190 |
24,063 |
$4.33M |
| 97110 |
|
47,278 |
15,059 |
$3.05M |
| 99214 |
|
17,276 |
14,711 |
$2.31M |
| 92507 |
|
17,036 |
5,181 |
$2.20M |
| 99213 |
|
12,032 |
9,998 |
$1.77M |
| 87636 |
|
16,583 |
14,437 |
$1.75M |
| 74177 |
|
9,624 |
8,841 |
$1.13M |
| G0378 |
Hospital observation per hr |
18,969 |
8,540 |
$1.10M |
| 70450 |
|
11,861 |
10,686 |
$1.08M |
| 99212 |
|
7,024 |
6,249 |
$1.07M |
| 80307 |
|
29,147 |
23,461 |
$1.02M |
| 99282 |
|
6,885 |
6,548 |
$960K |
| G0463 |
Hospital outpt clinic visit |
40,992 |
31,021 |
$945K |
| 97140 |
|
31,976 |
10,700 |
$941K |
| 96365 |
|
8,827 |
6,437 |
$939K |
| U0004 |
Cov-19 test non-cdc hgh thru |
13,889 |
12,588 |
$925K |
| 45380 |
|
1,264 |
1,222 |
$875K |
| 96366 |
|
2,844 |
2,228 |
$787K |
| 77063 |
|
10,316 |
10,185 |
$778K |
| S9485 |
Crisis intervention mental h |
1,490 |
1,201 |
$747K |
| 99211 |
|
4,325 |
3,971 |
$722K |
| 43239 |
|
1,184 |
1,138 |
$643K |
| 59025 |
|
2,451 |
1,476 |
$617K |
| 87491 |
|
22,081 |
21,332 |
$605K |
| 99215 |
Prolong outpt/office vis |
4,514 |
3,320 |
$603K |
| 71046 |
|
21,757 |
20,303 |
$589K |
| 87591 |
|
21,538 |
20,804 |
$587K |
| 45385 |
|
930 |
910 |
$577K |
| 96360 |
|
5,189 |
4,573 |
$514K |
| 93306 |
|
3,146 |
2,940 |
$431K |
| 99291 |
|
2,827 |
2,599 |
$423K |
| 76705 |
|
4,548 |
4,227 |
$421K |
| 74176 |
|
3,504 |
3,278 |
$403K |
| 85025 |
|
98,674 |
80,690 |
$398K |
| 87631 |
|
3,071 |
2,988 |
$349K |
| 93971 |
|
2,743 |
2,536 |
$347K |
| 97010 |
|
3,376 |
1,448 |
$345K |
| 76770 |
|
2,885 |
2,732 |
$337K |
| 97112 |
|
7,967 |
3,699 |
$329K |
| 96413 |
|
1,956 |
1,254 |
$317K |
| 71260 |
|
3,450 |
3,165 |
$309K |
| G0480 |
Drug test def 1-7 classes |
11,074 |
9,375 |
$305K |
| 84443 |
|
33,490 |
32,161 |
$279K |
| 80053 |
|
82,476 |
72,255 |
$275K |
| 76642 |
|
2,868 |
2,610 |
$272K |
| 82306 |
|
16,730 |
16,208 |
$263K |
| 88175 |
|
11,587 |
11,446 |
$263K |
| 97803 |
|
3,749 |
3,522 |
$248K |
| 76856 |
|
2,184 |
2,073 |
$245K |
| 87624 |
|
8,433 |
8,269 |
$223K |
| 77067 |
|
10,560 |
10,432 |
$205K |
| 71275 |
|
1,334 |
1,243 |
$203K |
| 88305 |
|
9,675 |
9,270 |
$196K |
| 84702 |
|
16,114 |
13,583 |
$191K |
| 87389 |
|
9,939 |
9,681 |
$187K |
| 97162 |
|
3,875 |
3,624 |
$180K |
| 85027 |
|
48,290 |
43,387 |
$179K |
| 96375 |
|
17,102 |
14,394 |
$178K |
| 87086 |
|
32,920 |
30,065 |
$172K |
| 76536 |
|
1,528 |
1,473 |
$168K |
| 83036 |
|
34,321 |
32,831 |
$157K |
| J3490 |
Drugs unclassified injection |
6,448 |
5,010 |
$148K |
| 87502 |
|
3,087 |
2,902 |
$145K |
| G0108 |
Diab manage trn per indiv |
1,754 |
1,650 |
$145K |
| 80050 |
|
9,469 |
9,167 |
$144K |
| 87635 |
|
3,045 |
2,963 |
$143K |
| 97161 |
|
3,409 |
3,098 |
$139K |
| 86780 |
|
12,521 |
12,173 |
$137K |
| 84484 |
|
19,591 |
15,483 |
$136K |
| 96374 |
|
26,843 |
22,338 |
$131K |
| 97535 |
|
2,454 |
1,785 |
$121K |
| ATP08 |
|
22,835 |
17,620 |
$118K |
| 93017 |
|
1,559 |
1,466 |
$116K |
| 70553 |
|
427 |
416 |
$115K |
| 82607 |
|
14,213 |
13,656 |
$113K |
| 80048 |
|
55,753 |
44,525 |
$111K |
| 80061 |
|
41,779 |
40,505 |
$111K |
| 86803 |
|
10,732 |
10,439 |
$111K |
| 86480 |
|
2,288 |
2,219 |
$108K |
| 82728 |
|
13,791 |
13,087 |
$107K |
| 77065 |
Tomosynthesis, mammo |
1,457 |
1,308 |
$106K |
| 93975 |
|
1,384 |
1,287 |
$106K |
| 76830 |
|
1,348 |
1,284 |
$103K |
| 73630 |
|
4,027 |
3,663 |
$101K |
| 0001A |
|
3,969 |
3,742 |
$92K |
| 72148 |
|
634 |
604 |
$90K |
| U0005 |
Infec agen detec ampli probe |
4,739 |
4,329 |
$87K |
| J7030 |
Normal saline solution infus |
29,507 |
15,164 |
$84K |
| 84466 |
|
11,458 |
10,933 |
$83K |
| 83880 |
|
7,304 |
6,247 |
$82K |
| 90834 |
|
3,553 |
2,475 |
$81K |
| ATP14 |
|
15,529 |
13,300 |
$81K |
| 12001 |
|
433 |
401 |
$80K |
| 74018 |
|
2,145 |
1,983 |
$80K |
| 81420 |
|
141 |
137 |
$79K |
| 83690 |
|
17,815 |
15,643 |
$78K |
| 87340 |
|
9,380 |
9,080 |
$76K |
| 73610 |
|
3,059 |
2,822 |
$74K |
| 87081 |
|
13,496 |
12,990 |
$73K |
| 72100 |
|
2,340 |
2,243 |
$73K |
| ATP15 |
|
9,887 |
7,599 |
$73K |
| 83735 |
|
21,209 |
15,729 |
$69K |
| 11042 |
|
453 |
262 |
$68K |
| 97802 |
|
890 |
861 |
$68K |
| 86762 |
|
5,528 |
5,384 |
$68K |
| J0131 |
Inj, acetaminophen (nos) |
3,356 |
3,176 |
$67K |
| 93005 |
|
40,346 |
32,767 |
$65K |
| 84153 |
|
4,907 |
4,808 |
$65K |
| 71045 |
|
12,054 |
10,840 |
$64K |
| 71250 |
|
1,469 |
1,358 |
$64K |
| 81003 |
|
47,982 |
43,392 |
$63K |
| J2543 |
Piperacillin/tazobactam |
2,833 |
827 |
$62K |
| 0002A |
|
2,094 |
2,078 |
$60K |
| 76700 |
|
369 |
350 |
$58K |
| 76816 |
|
947 |
848 |
$57K |
| 77080 |
|
1,096 |
1,082 |
$56K |
| 84439 |
|
10,791 |
10,321 |
$55K |
| 85610 |
|
39,336 |
24,275 |
$55K |
| 84403 |
|
3,367 |
3,242 |
$54K |
| 83970 |
|
3,484 |
3,315 |
$54K |
| 81025 |
|
9,508 |
8,776 |
$51K |
| 73130 |
|
2,274 |
2,064 |
$49K |
| 87186 |
|
10,148 |
9,345 |
$49K |
| 87480 |
|
3,017 |
2,895 |
$49K |
| 87510 |
|
3,016 |
2,895 |
$48K |
| 87660 |
|
3,010 |
2,888 |
$48K |
| 78452 |
|
228 |
211 |
$46K |
| 82805 |
|
1,176 |
1,063 |
$45K |
| 87077 |
|
9,683 |
8,927 |
$45K |
| J1756 |
Iron sucrose injection |
711 |
333 |
$44K |
| 86618 |
|
3,808 |
3,671 |
$44K |
| 97116 |
|
2,289 |
1,302 |
$43K |
| 83540 |
|
12,027 |
11,478 |
$43K |
| 0011A |
|
1,205 |
1,181 |
$43K |
| 87088 |
|
8,406 |
7,894 |
$42K |
| 87880 |
|
3,720 |
3,593 |
$41K |
| 94640 |
|
1,201 |
549 |
$41K |
| J1650 |
Inj enoxaparin sodium |
3,978 |
1,647 |
$41K |
| 86850 |
|
6,027 |
5,464 |
$41K |
| 88342 |
|
2,325 |
2,198 |
$40K |
| 83516 |
|
2,156 |
1,971 |
$40K |
| 97530 |
|
1,625 |
802 |
$40K |
| H0015 |
Alcohol and/or drug services |
241 |
38 |
$37K |
| 76811 |
|
581 |
577 |
$37K |
| 73030 |
|
2,231 |
2,007 |
$37K |
| 96372 |
|
10,239 |
8,419 |
$36K |
| G0121 |
Colon ca scrn not hi rsk ind |
24 |
24 |
$36K |
| 87070 |
|
6,052 |
5,609 |
$35K |
| A9577 |
Inj multihance |
453 |
417 |
$35K |
| 86140 |
|
11,981 |
10,324 |
$35K |
| G0279 |
Tomosynthesis, mammo |
2,042 |
1,984 |
$34K |
| 71271 |
|
954 |
928 |
$34K |
| 81220 |
|
118 |
112 |
$34K |
| ATP17 |
|
11,247 |
10,180 |
$34K |
| 73110 |
|
1,462 |
1,372 |
$33K |
| 84270 |
|
2,411 |
2,330 |
$32K |
| 85379 |
|
5,104 |
4,762 |
$32K |
| 82746 |
|
3,992 |
3,802 |
$32K |
| J7120 |
Ringers lactate infusion |
10,178 |
7,969 |
$31K |
| 87040 |
|
3,297 |
2,794 |
$30K |
| 87147 |
|
4,813 |
4,523 |
$29K |
| 77066 |
Tomosynthesis, mammo |
292 |
290 |
$28K |
| 90715 |
|
1,438 |
1,340 |
$28K |
| J2405 |
Ondansetron hcl injection |
18,320 |
14,872 |
$27K |
| 83001 |
|
1,935 |
1,859 |
$27K |
| J1885 |
Ketorolac tromethamine inj |
17,391 |
14,343 |
$26K |
| 86787 |
|
2,377 |
2,293 |
$26K |
| 73502 |
|
1,296 |
1,206 |
$25K |
| 83021 |
|
1,635 |
1,588 |
$25K |
| 72125 |
|
4,651 |
4,175 |
$25K |
| G0297 |
Ldct for lung ca screen |
372 |
358 |
$24K |
| 82248 |
|
23,435 |
19,992 |
$24K |
| 82784 |
|
3,122 |
2,967 |
$24K |
| 73721 |
|
120 |
111 |
$24K |
| U0002 |
Covid-19 lab test non-cdc |
706 |
669 |
$23K |
| 82947 |
|
6,957 |
6,752 |
$22K |
| 87522 |
Neg quan hep c or qual rna |
628 |
601 |
$22K |
| 84146 |
|
1,547 |
1,492 |
$21K |
| 93296 |
|
1,092 |
1,024 |
$21K |
| 82043 |
|
8,437 |
8,117 |
$19K |
| 83605 |
|
2,874 |
2,374 |
$19K |
| 83020 |
|
1,687 |
1,641 |
$18K |
| 90792 |
|
361 |
324 |
$18K |
| 85730 |
|
6,119 |
5,508 |
$18K |
| 0012A |
|
528 |
525 |
$18K |
| 86038 |
|
2,181 |
2,104 |
$17K |
| 82570 |
|
6,211 |
5,675 |
$17K |
| J1170 |
Hydromorphone injection |
5,953 |
3,904 |
$16K |
| 94060 |
|
229 |
217 |
$16K |
| J1815 |
Insulin injection |
2,822 |
888 |
$16K |
| 80076 |
|
5,820 |
5,447 |
$16K |
| 96367 |
|
306 |
253 |
$16K |
| 86900 |
|
6,016 |
5,434 |
$15K |
| 91300 |
|
2,212 |
1,924 |
$15K |
| 81514 |
|
158 |
147 |
$14K |
| 73560 |
|
731 |
611 |
$14K |
| 82550 |
|
3,726 |
3,143 |
$14K |
| 88304 |
|
1,058 |
997 |
$13K |
| 36415 |
|
88,983 |
66,814 |
$13K |
| 86706 |
|
1,821 |
1,762 |
$13K |
| J1644 |
Inj heparin sodium per 1000u |
4,868 |
2,426 |
$13K |
| 87634 |
|
208 |
192 |
$12K |
| 73140 |
|
507 |
481 |
$12K |
| 87661 |
|
432 |
422 |
$12K |
| 86901 |
|
6,009 |
5,430 |
$12K |
| 86704 |
|
1,454 |
1,406 |
$12K |
| J2270 |
Morphine sulfate injection |
7,123 |
5,240 |
$12K |
| Q3014 |
Telehealth facility fee |
5,026 |
4,556 |
$12K |
| 90471 |
|
2,714 |
2,377 |
$12K |
| ATP03 |
|
4,845 |
4,162 |
$12K |
| 76801 |
|
392 |
362 |
$11K |
| J2704 |
Inj, propofol, 10 mg |
14,425 |
10,839 |
$11K |
| 82670 |
|
519 |
478 |
$11K |
| 76819 |
|
336 |
243 |
$11K |
| 85652 |
|
6,487 |
5,951 |
$11K |
| 12011 |
|
66 |
64 |
$11K |
| 82565 |
|
5,761 |
4,926 |
$11K |
| J2250 |
Inj midazolam hydrochloride |
9,353 |
8,655 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
1,967 |
1,410 |
$11K |
| 87637 |
|
77 |
76 |
$11K |
| ATP16 |
|
1,685 |
1,193 |
$10K |
| 87205 |
|
3,900 |
3,547 |
$10K |
| 73564 |
|
1,032 |
971 |
$10K |
| 82951 |
|
886 |
875 |
$10K |
| 84156 |
|
4,079 |
3,483 |
$10K |
| ATP07 |
|
2,008 |
1,799 |
$9K |
| 90832 |
|
1,395 |
798 |
$9K |
| J3010 |
Fentanyl citrate injection |
9,350 |
8,652 |
$9K |
| J1100 |
Dexamethasone sodium phos |
7,746 |
7,098 |
$9K |
| 85004 |
|
4,396 |
3,665 |
$8K |
| J0690 |
Cefazolin sodium injection |
4,867 |
3,501 |
$8K |
| 80164 |
|
2,097 |
1,919 |
$8K |
| 70551 |
|
54 |
52 |
$8K |
| 84550 |
|
8,325 |
6,645 |
$8K |
| J1642 |
Inj heparin sodium per 10 u |
2,251 |
1,147 |
$7K |
| 81329 |
|
57 |
57 |
$7K |
| 94729 |
|
184 |
175 |
$7K |
| ATP05 |
|
997 |
757 |
$6K |
| 97597 |
|
69 |
40 |
$6K |
| J1200 |
Diphenhydramine hcl injectio |
4,048 |
3,439 |
$6K |
| 86364 |
|
703 |
681 |
$6K |
| Q0162 |
Ondansetron oral |
4,928 |
4,401 |
$6K |
| 84100 |
|
6,945 |
5,030 |
$6K |
| J0897 |
Denosumab injection |
24 |
24 |
$6K |
| ATP11 |
|
1,916 |
1,695 |
$5K |
| 86258 |
|
473 |
471 |
$5K |
| 90791 |
|
295 |
257 |
$5K |
| 82105 |
|
364 |
357 |
$5K |
| J2060 |
Lorazepam injection |
3,662 |
2,929 |
$5K |
| 87625 |
|
212 |
209 |
$5K |
| 83037 |
|
1,809 |
1,595 |
$5K |
| 80178 |
|
1,616 |
1,426 |
$5K |
| 99218 |
|
271 |
159 |
$5K |
| 99281 |
|
43 |
40 |
$5K |
| 84480 |
|
530 |
508 |
$5K |
| 86141 |
|
546 |
505 |
$5K |
| ATP18 |
|
2,060 |
1,806 |
$5K |
| 80159 |
|
764 |
632 |
$5K |
| 82150 |
|
1,073 |
971 |
$4K |
| J3370 |
Vancomycin hcl injection |
797 |
283 |
$4K |
| 83002 |
|
321 |
292 |
$4K |
| 76817 |
|
299 |
271 |
$4K |
| 84145 |
|
2,374 |
2,027 |
$4K |
| J7050 |
Normal saline solution infus |
397 |
219 |
$4K |
| 84460 |
|
4,426 |
3,785 |
$4K |
| 70486 |
|
101 |
100 |
$4K |
| 97165 |
|
54 |
52 |
$4K |
| 81508 |
|
113 |
107 |
$4K |
| 88341 |
|
172 |
157 |
$4K |
| 84450 |
|
4,275 |
3,615 |
$4K |
| 70498 |
|
40 |
39 |
$3K |
| 87150 |
|
406 |
401 |
$3K |
| Q0163 |
Diphenhydramine hcl 50mg |
2,422 |
1,712 |
$3K |
| 86431 |
|
704 |
691 |
$3K |
| 85014 |
|
2,117 |
1,848 |
$3K |
| 76870 |
|
38 |
36 |
$3K |
| 87427 |
|
237 |
219 |
$3K |
| J2001 |
Lidocaine injection |
9,116 |
7,935 |
$3K |
| 85018 |
|
1,948 |
1,686 |
$3K |
| 80179 |
|
234 |
229 |
$3K |
| 84520 |
|
4,080 |
3,380 |
$3K |
| 74183 |
|
13 |
12 |
$3K |
| ATP10 |
|
1,023 |
905 |
$3K |
| 82952 |
|
732 |
721 |
$2K |
| 82077 |
|
774 |
695 |
$2K |
| 86696 |
|
106 |
104 |
$2K |
| 97163 |
|
43 |
41 |
$2K |
| 82962 |
|
20,420 |
13,267 |
$2K |
| J3475 |
Inj magnesium sulfate |
532 |
298 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,999 |
1,221 |
$2K |
| 86695 |
|
118 |
116 |
$2K |
| 12002 |
|
14 |
13 |
$2K |
| ATP04 |
|
436 |
394 |
$2K |
| 87046 |
|
239 |
221 |
$2K |
| 74019 |
|
133 |
124 |
$2K |
| 87420 |
|
167 |
161 |
$2K |
| ATP09 |
|
302 |
247 |
$2K |
| 87449 |
|
289 |
262 |
$2K |
| 86160 |
|
90 |
79 |
$2K |
| 76815 |
|
40 |
37 |
$1K |
| 84165 |
|
331 |
317 |
$1K |
| 70496 |
|
30 |
25 |
$1K |
| 86308 |
|
353 |
329 |
$1K |
| 84163 |
|
92 |
90 |
$1K |
| 87045 |
|
222 |
207 |
$1K |
| 83520 |
|
114 |
109 |
$1K |
| 90686 |
|
203 |
187 |
$1K |
| 72141 |
|
12 |
12 |
$1K |
| 36591 |
|
389 |
255 |
$1K |
| 83921 |
|
82 |
79 |
$1K |
| 87536 |
|
38 |
38 |
$1K |
| 73080 |
|
95 |
93 |
$1K |
| 71101 |
|
115 |
106 |
$1K |
| 84681 |
|
77 |
76 |
$1K |
| 87210 |
|
313 |
298 |
$1K |
| 98968 |
|
13 |
12 |
$1K |
| 84425 |
|
67 |
66 |
$1K |
| 86360 |
|
111 |
107 |
$1K |
| 82677 |
|
54 |
54 |
$1K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
707 |
178 |
$1K |
| 97035 |
|
20 |
13 |
$1K |
| 84436 |
|
304 |
294 |
$1K |
| 82533 |
|
80 |
80 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16,384 |
14,475 |
$1K |
| 84134 |
|
105 |
101 |
$1K |
| 87015 |
|
181 |
165 |
$998.21 |
| 86355 |
|
124 |
119 |
$967.80 |
| 83721 |
|
234 |
223 |
$957.09 |
| 87272 |
|
110 |
107 |
$953.62 |
| 87269 |
|
98 |
95 |
$916.99 |
| 72050 |
|
26 |
25 |
$889.73 |
| 86336 |
|
54 |
54 |
$888.16 |
| 87102 |
|
145 |
138 |
$886.38 |
| 86359 |
|
111 |
107 |
$864.54 |
| 86357 |
|
111 |
107 |
$864.54 |
| 73590 |
|
62 |
54 |
$829.59 |
| 87324 |
|
166 |
150 |
$825.22 |
| 83655 |
|
70 |
70 |
$824.52 |
| ATP02 |
|
318 |
262 |
$808.61 |
| 99442 |
|
138 |
118 |
$801.66 |
| 86200 |
|
75 |
75 |
$776.81 |
| 70491 |
|
13 |
12 |
$762.22 |
| 80069 |
|
877 |
792 |
$762.15 |
| J0780 |
Prochlorperazine injection |
114 |
61 |
$729.41 |
| 86769 |
|
26 |
25 |
$702.42 |
| J2765 |
Metoclopramide hcl injection |
4,081 |
3,495 |
$694.54 |
| A9502 |
Tc99m tetrofosmin |
412 |
233 |
$686.14 |
| J2930 |
Methylprednisolone injection |
589 |
528 |
$673.92 |
| 82390 |
|
83 |
78 |
$619.28 |
| G0008 |
Admin influenza virus vac |
351 |
343 |
$605.68 |
| 88307 |
|
39 |
39 |
$555.18 |
| 84481 |
|
39 |
39 |
$537.84 |
| 83090 |
|
37 |
37 |
$517.11 |
| 36000 |
|
52 |
43 |
$511.32 |
| 85045 |
|
247 |
220 |
$489.04 |
| G0103 |
Psa screening |
2,239 |
2,212 |
$474.25 |
| 82140 |
|
145 |
113 |
$466.65 |
| 83718 |
|
81 |
79 |
$460.47 |
| 97166 |
|
16 |
12 |
$457.12 |
| 11721 |
|
24 |
24 |
$426.76 |
| 86677 |
|
45 |
41 |
$420.69 |
| 84630 |
|
51 |
50 |
$417.73 |
| 86665 |
|
13 |
13 |
$416.00 |
| 72072 |
|
13 |
12 |
$413.91 |
| 83615 |
|
768 |
652 |
$375.04 |
| 82272 |
|
263 |
244 |
$374.09 |
| 82948 |
|
108 |
98 |
$368.52 |
| 86376 |
|
43 |
37 |
$362.94 |
| 86666 |
|
18 |
16 |
$359.36 |
| A4217 |
Sterile water/saline, 500 ml |
69 |
66 |
$343.07 |
| 87641 |
|
44 |
41 |
$340.42 |
| J1630 |
Haloperidol injection |
215 |
167 |
$339.64 |
| 96376 |
|
3,141 |
2,724 |
$338.62 |
| 99443 |
|
43 |
37 |
$307.56 |
| 82610 |
|
24 |
24 |
$303.53 |
| 88112 |
|
12 |
12 |
$299.58 |
| 83883 |
|
43 |
39 |
$286.62 |
| 87640 |
|
44 |
41 |
$278.53 |
| 82270 |
|
189 |
170 |
$260.28 |
| 82247 |
|
68 |
39 |
$252.51 |
| 82040 |
|
421 |
410 |
$240.71 |
| J7040 |
Normal saline solution infus |
163 |
89 |
$229.43 |
| 84590 |
|
28 |
27 |
$227.60 |
| 86708 |
|
24 |
24 |
$206.95 |
| A9585 |
Gadobutrol injection |
3,233 |
3,015 |
$197.33 |
| 80143 |
|
90 |
85 |
$197.28 |
| 93246 |
|
26 |
25 |
$193.50 |
| 86664 |
|
13 |
13 |
$188.86 |
| 90662 |
|
91 |
88 |
$162.18 |
| 73552 |
|
14 |
12 |
$148.85 |
| 84132 |
|
280 |
219 |
$144.59 |
| 82525 |
|
12 |
12 |
$131.40 |
| 82010 |
|
30 |
24 |
$109.90 |
| 93010 |
|
30 |
27 |
$94.98 |
| 87207 |
|
21 |
19 |
$91.41 |
| 86709 |
|
13 |
13 |
$79.44 |
| 80156 |
|
14 |
13 |
$75.15 |
| 73660 |
|
14 |
12 |
$73.55 |
| 82378 |
|
14 |
13 |
$58.68 |
| J3486 |
Ziprasidone mesylate |
13 |
12 |
$46.30 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
3,087 |
2,872 |
$43.30 |
| 82310 |
|
26 |
25 |
$36.18 |
| 82977 |
|
17 |
13 |
$14.84 |
| P9612 |
Catheterize for urine spec |
334 |
298 |
$8.46 |
| 99152 |
|
212 |
203 |
$5.22 |
| 99153 |
Mod sedat endo service >5yrs |
318 |
300 |
$4.17 |
| G0476 |
Hpv combo assay ca screen |
220 |
220 |
$3.29 |
| A4216 |
Sterile water/saline, 10 ml |
2,780 |
1,617 |
$0.00 |
| G1004 |
Cdsm ndsc |
4,819 |
3,395 |
$0.00 |
| G0177 |
Opps/php/iop; train & educ |
766 |
144 |
$0.00 |
| G8985 |
Carry goal status |
149 |
139 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
274 |
263 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
1,558 |
853 |
$0.00 |
| G8984 |
Carry current status |
106 |
102 |
$0.00 |
| G8978 |
Mobility current status |
555 |
506 |
$0.00 |
| G8979 |
Mobility goal status |
632 |
569 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
114 |
87 |
$0.00 |
| 76942 |
|
12 |
12 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
44 |
40 |
$0.00 |
| J1020 |
Methylprednisolone 20 mg inj |
17 |
14 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
13 |
12 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
31 |
29 |
$0.00 |
| 36592 |
|
47 |
26 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
75 |
54 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
629 |
536 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
81 |
74 |
$0.00 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
85 |
85 |
$0.00 |
| G0410 |
Grp psych php/iop 45-50 |
311 |
54 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
196 |
179 |
$0.00 |
| 91301 |
|
1,177 |
1,149 |
$0.00 |
| C1769 |
Guide wire |
161 |
151 |
$0.00 |
| J3480 |
Inj potassium chloride |
82 |
54 |
$0.00 |
| J1790 |
Droperidol injection |
15 |
12 |
$0.00 |
| G8980 |
Mobility d/c status |
29 |
29 |
$0.00 |
| J0500 |
Dicyclomine injection |
14 |
12 |
$0.00 |