| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
35,339 |
32,342 |
$3.66M |
| 99213 |
|
44,166 |
35,492 |
$2.90M |
| 99284 |
|
21,620 |
19,104 |
$2.65M |
| 96361 |
|
6,708 |
5,416 |
$1.90M |
| 99214 |
|
30,615 |
25,457 |
$1.82M |
| 99285 |
|
12,550 |
10,255 |
$1.48M |
| 70450 |
|
3,463 |
2,797 |
$815K |
| 74177 |
|
2,955 |
2,278 |
$693K |
| 0202U |
|
3,776 |
3,136 |
$593K |
| 97110 |
|
7,186 |
2,127 |
$527K |
| 92507 |
|
6,673 |
2,245 |
$443K |
| 99211 |
|
7,028 |
4,741 |
$439K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,404 |
2,282 |
$418K |
| 74176 |
|
1,519 |
1,149 |
$387K |
| G0463 |
Hospital outpt clinic visit |
11,086 |
9,742 |
$363K |
| 93458 |
|
397 |
302 |
$319K |
| 99212 |
|
5,104 |
3,984 |
$304K |
| 97530 |
|
4,770 |
1,608 |
$303K |
| 96366 |
|
1,565 |
675 |
$300K |
| 96365 |
|
2,568 |
1,562 |
$296K |
| 78452 |
|
816 |
682 |
$278K |
| G0378 |
Hospital observation per hr |
3,854 |
1,274 |
$266K |
| 93306 |
|
1,377 |
1,194 |
$260K |
| 94640 |
|
2,252 |
1,496 |
$258K |
| 87631 |
|
2,746 |
2,273 |
$253K |
| 99391 |
|
3,994 |
3,308 |
$218K |
| 99392 |
|
3,756 |
3,240 |
$206K |
| 99203 |
|
3,210 |
2,755 |
$188K |
| 59025 |
|
1,271 |
646 |
$185K |
| 80048 |
|
23,047 |
17,266 |
$180K |
| 96360 |
|
796 |
574 |
$178K |
| 80053 |
|
20,520 |
16,673 |
$176K |
| 99282 |
|
1,662 |
1,436 |
$168K |
| 81513 |
|
1,433 |
1,086 |
$158K |
| 90999 |
|
7,161 |
402 |
$156K |
| 96110 |
|
1,341 |
1,170 |
$142K |
| 71275 |
|
538 |
382 |
$135K |
| 99204 |
|
2,340 |
2,024 |
$126K |
| 84443 |
|
6,580 |
5,373 |
$118K |
| 96161 |
|
1,199 |
1,041 |
$113K |
| 64488 |
|
739 |
418 |
$109K |
| 99395 |
|
2,158 |
1,796 |
$100K |
| 85025 |
|
45,944 |
35,082 |
$99K |
| 96413 |
|
597 |
258 |
$97K |
| 97112 |
|
2,580 |
988 |
$95K |
| 99281 |
|
806 |
718 |
$87K |
| 99393 |
|
1,956 |
1,666 |
$85K |
| 95810 |
|
165 |
156 |
$83K |
| 76830 |
|
1,174 |
920 |
$79K |
| 93017 |
|
1,176 |
1,003 |
$77K |
| 76705 |
|
1,061 |
804 |
$73K |
| 70553 |
|
313 |
253 |
$73K |
| 71045 |
|
15,489 |
13,471 |
$66K |
| 99215 |
Prolong outpt/office vis |
1,033 |
871 |
$66K |
| 71046 |
|
1,895 |
1,568 |
$62K |
| 99396 |
|
1,733 |
1,484 |
$60K |
| 93005 |
|
24,695 |
20,712 |
$57K |
| 99394 |
|
1,245 |
1,031 |
$54K |
| 80307 |
|
3,949 |
3,020 |
$54K |
| 69436 |
|
35 |
25 |
$52K |
| 76856 |
|
348 |
252 |
$52K |
| 90834 |
|
415 |
191 |
$52K |
| 90837 |
|
439 |
317 |
$49K |
| 97535 |
|
1,282 |
648 |
$49K |
| 99202 |
|
723 |
564 |
$48K |
| 77067 |
|
1,074 |
993 |
$47K |
| J1050 |
Medroxyprogesterone acetate |
615 |
434 |
$47K |
| 71260 |
|
438 |
341 |
$46K |
| 80061 |
|
4,727 |
3,999 |
$46K |
| 93971 |
|
633 |
530 |
$44K |
| 76642 |
|
470 |
344 |
$44K |
| 36415 |
|
22,873 |
19,281 |
$43K |
| 93970 |
|
325 |
275 |
$42K |
| 84484 |
|
12,032 |
9,610 |
$42K |
| 97161 |
|
974 |
816 |
$41K |
| 82306 |
|
1,930 |
1,638 |
$40K |
| 97113 |
|
537 |
137 |
$38K |
| 72148 |
|
254 |
213 |
$36K |
| 87491 |
|
3,104 |
2,535 |
$35K |
| 92557 |
|
583 |
501 |
$33K |
| 95811 |
|
46 |
37 |
$32K |
| U0005 |
Infec agen detec ampli probe |
1,517 |
1,421 |
$32K |
| Q5105 |
Inj retacrit esrd on dialysi |
2,144 |
129 |
$30K |
| 96160 |
|
279 |
234 |
$30K |
| 76817 |
|
907 |
674 |
$29K |
| C9600 |
Perc drug-el cor stent sing |
17 |
12 |
$28K |
| 84439 |
|
2,515 |
2,092 |
$27K |
| 76816 |
|
1,088 |
845 |
$26K |
| 95886 |
|
145 |
103 |
$26K |
| J0585 |
Injection,onabotulinumtoxina |
23 |
12 |
$25K |
| 87591 |
|
3,143 |
2,550 |
$25K |
| 87086 |
|
9,373 |
7,636 |
$25K |
| 83735 |
|
9,069 |
5,584 |
$25K |
| 97165 |
|
551 |
427 |
$25K |
| 76770 |
|
153 |
133 |
$24K |
| 87070 |
|
4,282 |
3,671 |
$23K |
| 90460 |
|
6,330 |
5,233 |
$23K |
| 43239 |
|
66 |
51 |
$23K |
| 87661 |
|
2,942 |
2,345 |
$23K |
| 86850 |
|
1,301 |
1,002 |
$22K |
| 83036 |
|
4,926 |
4,257 |
$22K |
| 97116 |
|
1,014 |
441 |
$20K |
| 81001 |
|
23,693 |
19,969 |
$19K |
| 80076 |
|
2,807 |
2,226 |
$19K |
| 96372 |
|
9,590 |
6,800 |
$19K |
| C9803 |
Hopd covid-19 spec collect |
535 |
519 |
$18K |
| 90670 |
|
1,032 |
808 |
$18K |
| 82607 |
|
1,422 |
1,189 |
$18K |
| 82728 |
|
1,483 |
1,235 |
$17K |
| J1644 |
Inj heparin sodium per 1000u |
5,966 |
870 |
$17K |
| 70551 |
|
129 |
102 |
$17K |
| 74018 |
|
716 |
544 |
$17K |
| 93225 |
|
304 |
279 |
$16K |
| 86900 |
|
1,505 |
1,152 |
$15K |
| 96367 |
|
500 |
296 |
$15K |
| 76536 |
|
157 |
135 |
$15K |
| 99381 |
|
327 |
281 |
$15K |
| 86140 |
|
984 |
759 |
$13K |
| 72100 |
|
735 |
583 |
$13K |
| J1756 |
Iron sucrose injection |
668 |
116 |
$13K |
| 94060 |
|
113 |
102 |
$13K |
| 70486 |
|
244 |
199 |
$12K |
| 71250 |
|
174 |
158 |
$12K |
| 85027 |
|
1,998 |
1,618 |
$11K |
| 83540 |
|
1,679 |
1,374 |
$11K |
| 76805 |
|
326 |
265 |
$11K |
| 92567 |
|
1,004 |
838 |
$11K |
| 73630 |
|
1,438 |
1,105 |
$11K |
| 72125 |
|
944 |
750 |
$11K |
| 84466 |
|
1,561 |
1,279 |
$11K |
| 82746 |
|
1,248 |
1,035 |
$10K |
| 84702 |
|
1,018 |
641 |
$10K |
| 73130 |
|
827 |
588 |
$10K |
| 83655 |
|
441 |
342 |
$10K |
| 86780 |
|
1,196 |
978 |
$10K |
| 82570 |
|
1,433 |
1,175 |
$9K |
| 86703 |
|
699 |
541 |
$9K |
| 93296 |
|
721 |
662 |
$9K |
| 90686 |
|
1,174 |
889 |
$9K |
| 87340 |
|
872 |
699 |
$9K |
| 99385 |
|
249 |
216 |
$9K |
| 71271 |
|
66 |
63 |
$9K |
| 90648 |
|
1,014 |
799 |
$8K |
| J3490 |
Drugs unclassified injection |
1,555 |
757 |
$8K |
| 12001 |
|
53 |
50 |
$8K |
| G0108 |
Diab manage trn per indiv |
176 |
139 |
$8K |
| 87428 |
|
6,782 |
5,448 |
$8K |
| 73030 |
|
634 |
490 |
$8K |
| 10060 |
|
51 |
41 |
$8K |
| S9472 |
Cardiac rehabilitation progr |
131 |
24 |
$7K |
| 73610 |
|
842 |
687 |
$7K |
| 86803 |
|
744 |
609 |
$7K |
| 90833 |
|
87 |
68 |
$7K |
| 85610 |
|
11,208 |
8,066 |
$7K |
| 83690 |
|
9,667 |
7,985 |
$6K |
| 82043 |
|
1,006 |
875 |
$6K |
| 96374 |
|
12,438 |
10,331 |
$6K |
| 87481 |
|
1,454 |
1,106 |
$6K |
| 86038 |
|
258 |
209 |
$6K |
| 93925 |
|
59 |
55 |
$6K |
| 93880 |
|
98 |
79 |
$5K |
| 97140 |
|
365 |
136 |
$5K |
| 90681 |
|
425 |
325 |
$5K |
| 87641 |
|
835 |
632 |
$5K |
| 90633 |
|
726 |
572 |
$5K |
| 87510 |
|
202 |
197 |
$5K |
| 83880 |
|
1,547 |
1,259 |
$5K |
| 90723 |
|
791 |
624 |
$5K |
| 87077 |
|
1,959 |
1,563 |
$5K |
| 83970 |
|
365 |
294 |
$5K |
| 78815 |
|
14 |
12 |
$5K |
| 96375 |
|
8,237 |
5,841 |
$4K |
| 87426 |
|
1,468 |
1,262 |
$4K |
| 87624 |
|
747 |
597 |
$4K |
| 88305 |
|
1,528 |
1,133 |
$4K |
| 84153 |
|
346 |
300 |
$4K |
| 81025 |
|
9,221 |
7,316 |
$4K |
| 93298 |
|
1,026 |
939 |
$4K |
| 72040 |
|
121 |
104 |
$4K |
| 88142 |
|
1,342 |
1,074 |
$4K |
| 76818 |
|
201 |
100 |
$4K |
| 87480 |
|
202 |
197 |
$4K |
| 87493 |
|
650 |
487 |
$4K |
| 92587 |
|
61 |
55 |
$4K |
| 87500 |
|
713 |
524 |
$4K |
| 85652 |
|
1,101 |
853 |
$4K |
| 73110 |
|
310 |
240 |
$4K |
| 82565 |
|
1,049 |
794 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
121 |
120 |
$4K |
| 86225 |
|
290 |
229 |
$4K |
| 87651 |
|
1,274 |
1,051 |
$4K |
| 90471 |
|
939 |
749 |
$4K |
| 83605 |
|
2,149 |
1,642 |
$4K |
| 94726 |
|
63 |
53 |
$4K |
| 90792 |
|
23 |
13 |
$4K |
| 96376 |
|
1,779 |
803 |
$3K |
| 93922 |
|
49 |
45 |
$3K |
| 73562 |
|
548 |
402 |
$3K |
| 88307 |
|
31 |
13 |
$3K |
| 82077 |
|
1,187 |
917 |
$3K |
| 87430 |
|
7,186 |
5,777 |
$3K |
| 87507 |
|
22 |
15 |
$3K |
| 92552 |
|
61 |
45 |
$3K |
| 76815 |
|
126 |
70 |
$3K |
| 86901 |
|
1,505 |
1,152 |
$3K |
| 84156 |
|
881 |
665 |
$3K |
| A4657 |
Syringe w/wo needle |
4,232 |
216 |
$3K |
| 87660 |
|
221 |
214 |
$3K |
| 72072 |
|
106 |
82 |
$3K |
| 84550 |
|
663 |
540 |
$3K |
| 0002A |
|
72 |
67 |
$3K |
| 93270 |
|
20 |
12 |
$2K |
| 73502 |
|
134 |
100 |
$2K |
| 86430 |
|
167 |
130 |
$2K |
| 82950 |
|
559 |
465 |
$2K |
| 86695 |
|
156 |
124 |
$2K |
| 87186 |
|
1,881 |
1,482 |
$2K |
| 77065 |
Tomosynthesis, mammo |
133 |
97 |
$2K |
| 86696 |
|
156 |
124 |
$2K |
| 84703 |
|
654 |
487 |
$2K |
| 90716 |
|
295 |
221 |
$2K |
| G2066 |
Inter devc remote 30d |
99 |
92 |
$2K |
| 0001A |
|
73 |
73 |
$2K |
| 84100 |
|
1,400 |
939 |
$2K |
| 87081 |
|
701 |
510 |
$2K |
| 83525 |
|
109 |
76 |
$2K |
| 80143 |
|
487 |
382 |
$2K |
| 95816 |
|
14 |
12 |
$2K |
| 85379 |
|
1,385 |
1,069 |
$2K |
| 86762 |
|
353 |
275 |
$2K |
| 87635 |
|
233 |
188 |
$2K |
| 72141 |
|
14 |
12 |
$2K |
| J7030 |
Normal saline solution infus |
9,473 |
7,305 |
$2K |
| 87804 |
|
1,725 |
1,020 |
$2K |
| 51798 |
|
501 |
426 |
$2K |
| 87486 |
|
68 |
68 |
$2K |
| 88174 |
|
77 |
75 |
$2K |
| 99383 |
|
27 |
26 |
$2K |
| 90651 |
|
92 |
69 |
$2K |
| 83615 |
|
694 |
487 |
$1K |
| 85730 |
|
2,157 |
1,579 |
$1K |
| 31575 |
|
40 |
40 |
$1K |
| 87880 |
|
1,640 |
1,351 |
$1K |
| 90715 |
|
133 |
104 |
$1K |
| 84145 |
|
337 |
234 |
$1K |
| 84450 |
|
223 |
178 |
$1K |
| 90707 |
|
297 |
230 |
$1K |
| H1000 |
Prenatal care atrisk assessm |
189 |
141 |
$1K |
| 82803 |
|
665 |
483 |
$1K |
| 90696 |
|
168 |
128 |
$1K |
| 86141 |
|
27 |
26 |
$1K |
| 77062 |
|
46 |
32 |
$1K |
| 97150 |
|
117 |
30 |
$1K |
| 00731 |
|
426 |
321 |
$1K |
| 99406 |
|
66 |
58 |
$1K |
| 82040 |
|
431 |
348 |
$1K |
| 87150 |
|
295 |
237 |
$980.02 |
| 84403 |
|
61 |
51 |
$921.86 |
| 85014 |
|
727 |
457 |
$921.51 |
| 81003 |
|
2,340 |
1,936 |
$918.67 |
| 92523 |
|
12 |
12 |
$914.57 |
| J2785 |
Regadenoson injection |
620 |
508 |
$913.16 |
| 00840 |
|
282 |
144 |
$892.30 |
| 82150 |
|
327 |
272 |
$861.73 |
| J1170 |
Hydromorphone injection |
1,308 |
563 |
$853.19 |
| 80179 |
|
446 |
348 |
$852.42 |
| 87040 |
|
652 |
471 |
$819.13 |
| 90677 |
|
59 |
58 |
$814.92 |
| 87798 |
|
69 |
68 |
$802.60 |
| 87581 |
|
68 |
68 |
$788.37 |
| 87801 |
|
21 |
20 |
$784.33 |
| 84132 |
|
728 |
505 |
$775.95 |
| 90700 |
|
212 |
155 |
$769.37 |
| 85018 |
|
768 |
486 |
$761.55 |
| J2270 |
Morphine sulfate injection |
1,995 |
1,118 |
$740.63 |
| 84146 |
|
179 |
147 |
$737.11 |
| 82330 |
|
176 |
85 |
$717.10 |
| 82550 |
|
198 |
150 |
$686.39 |
| 87420 |
|
825 |
659 |
$676.84 |
| J1885 |
Ketorolac tromethamine inj |
8,739 |
6,417 |
$645.60 |
| 94729 |
|
16 |
14 |
$629.57 |
| 72131 |
|
14 |
14 |
$595.17 |
| 73590 |
|
60 |
39 |
$580.56 |
| 76801 |
|
72 |
50 |
$563.84 |
| 85045 |
|
295 |
246 |
$542.94 |
| 84481 |
|
29 |
24 |
$524.73 |
| 87389 |
|
102 |
101 |
$524.00 |
| 90710 |
|
148 |
115 |
$523.56 |
| A9500 |
Tc99m sestamibi |
835 |
696 |
$518.70 |
| 90734 |
|
97 |
72 |
$498.62 |
| J7999 |
Compounded drug, noc |
327 |
177 |
$468.71 |
| J1650 |
Inj enoxaparin sodium |
696 |
287 |
$452.16 |
| 84520 |
|
645 |
364 |
$433.33 |
| 71101 |
|
18 |
14 |
$408.88 |
| 87205 |
|
590 |
431 |
$386.88 |
| 80074 |
|
26 |
14 |
$385.26 |
| 77066 |
Tomosynthesis, mammo |
99 |
64 |
$361.54 |
| 73090 |
|
63 |
49 |
$360.69 |
| J2704 |
Inj, propofol, 10 mg |
4,270 |
2,687 |
$342.99 |
| 82248 |
|
58 |
38 |
$336.53 |
| 87633 |
|
24 |
24 |
$327.21 |
| 97162 |
|
15 |
12 |
$321.06 |
| 82310 |
|
431 |
308 |
$312.54 |
| 84075 |
|
344 |
288 |
$308.64 |
| 74022 |
|
96 |
70 |
$306.66 |
| 82140 |
|
63 |
46 |
$303.01 |
| 83001 |
|
16 |
13 |
$298.17 |
| 83874 |
|
41 |
39 |
$297.72 |
| 72170 |
|
58 |
47 |
$293.62 |
| J3420 |
Vitamin b12 injection |
499 |
328 |
$253.56 |
| 73080 |
|
45 |
37 |
$243.72 |
| 99382 |
|
15 |
13 |
$243.17 |
| 84402 |
|
12 |
12 |
$228.33 |
| 88304 |
|
472 |
284 |
$227.21 |
| J1100 |
Dexamethasone sodium phos |
4,489 |
2,905 |
$219.48 |
| 86308 |
|
47 |
37 |
$215.48 |
| 87088 |
|
148 |
109 |
$162.64 |
| 36416 |
|
3,942 |
2,643 |
$162.00 |
| 84460 |
|
85 |
82 |
$159.96 |
| 90694 |
|
47 |
43 |
$154.46 |
| J3475 |
Inj magnesium sulfate |
764 |
436 |
$152.36 |
| J2405 |
Ondansetron hcl injection |
7,837 |
5,301 |
$141.07 |
| J0696 |
Ceftriaxone sodium injection |
1,004 |
568 |
$140.32 |
| J2272 |
Inj, morphine (fresenius) |
256 |
213 |
$128.23 |
| J2919 |
Inj, methylpred sod succ 5mg |
225 |
150 |
$125.03 |
| 85384 |
|
98 |
79 |
$116.18 |
| 73552 |
|
17 |
12 |
$115.68 |
| 82947 |
|
33 |
24 |
$115.58 |
| J3360 |
Diazepam injection |
40 |
27 |
$110.18 |
| 76604 |
|
38 |
37 |
$104.51 |
| J2930 |
Methylprednisolone injection |
383 |
245 |
$101.42 |
| 84295 |
|
341 |
248 |
$101.01 |
| 90714 |
|
16 |
15 |
$96.66 |
| 87400 |
|
492 |
375 |
$83.71 |
| J0360 |
Hydralazine hcl injection |
165 |
105 |
$81.88 |
| J0690 |
Cefazolin sodium injection |
1,177 |
585 |
$81.71 |
| J1200 |
Diphenhydramine hcl injectio |
1,274 |
829 |
$77.12 |
| J3010 |
Fentanyl citrate injection |
3,319 |
2,113 |
$76.37 |
| G0008 |
Admin influenza virus vac |
146 |
138 |
$73.83 |
| 82044 |
|
228 |
200 |
$72.53 |
| 93288 |
|
13 |
12 |
$71.52 |
| 69210 |
|
16 |
12 |
$69.00 |
| J1642 |
Inj heparin sodium per 10 u |
877 |
383 |
$67.50 |
| 92579 |
|
17 |
14 |
$65.90 |
| 86706 |
|
40 |
34 |
$58.15 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
416 |
298 |
$51.55 |
| J1020 |
Methylprednisolone 20 mg inj |
224 |
144 |
$49.44 |
| 82962 |
|
53 |
40 |
$44.40 |
| J2795 |
Ropivacaine hcl injection |
623 |
341 |
$43.96 |
| J2360 |
Orphenadrine injection |
156 |
111 |
$43.24 |
| J0780 |
Prochlorperazine injection |
203 |
102 |
$42.23 |
| 87210 |
|
54 |
39 |
$41.57 |
| J2765 |
Metoclopramide hcl injection |
889 |
566 |
$35.87 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,387 |
4,947 |
$32.02 |
| C9113 |
Inj pantoprazole sodium, via |
39 |
12 |
$29.04 |
| J2060 |
Lorazepam injection |
315 |
197 |
$27.09 |
| J2250 |
Inj midazolam hydrochloride |
2,826 |
1,824 |
$21.79 |
| 92555 |
|
12 |
12 |
$21.78 |
| J1010 |
Inj, methylpred acetate 1 mg |
192 |
166 |
$17.60 |
| 87075 |
|
15 |
13 |
$15.99 |
| 85390 |
|
46 |
38 |
$15.83 |
| J7040 |
Normal saline solution infus |
401 |
268 |
$14.99 |
| 82374 |
|
243 |
217 |
$7.32 |
| 88720 |
|
20 |
12 |
$7.00 |
| 83550 |
|
60 |
56 |
$6.56 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
51 |
30 |
$5.62 |
| J7050 |
Normal saline solution infus |
466 |
289 |
$5.46 |
| J7120 |
Ringers lactate infusion |
60 |
52 |
$2.69 |
| 90662 |
|
12 |
12 |
$1.95 |
| J0171 |
Adrenalin epinephrine inject |
18 |
12 |
$1.44 |
| 91300 |
|
147 |
140 |
$1.42 |
| A9585 |
Gadobutrol injection |
599 |
436 |
$0.33 |
| 88342 |
|
120 |
93 |
$0.00 |
| C1769 |
Guide wire |
1,010 |
766 |
$0.00 |
| 00790 |
|
29 |
12 |
$0.00 |
| 96368 |
|
19 |
14 |
$0.00 |
| 86580 |
|
16 |
15 |
$0.00 |
| 85576 |
|
44 |
41 |
$0.00 |
| 00126 |
|
12 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
129 |
54 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
14 |
12 |
$0.00 |
| L8699 |
Prosthetic implant nos |
22 |
14 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
15 |
14 |
$0.00 |
| C1887 |
Catheter, guiding |
464 |
333 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
40 |
36 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
846 |
688 |
$0.00 |
| 85347 |
|
105 |
85 |
$0.00 |
| 82108 |
|
17 |
16 |
$0.00 |
| A9552 |
F18 fdg |
14 |
12 |
$0.00 |
| 00811 |
|
40 |
26 |
$0.00 |
| J2550 |
Promethazine hcl injection |
16 |
16 |
$0.00 |
| 90461 |
|
22 |
15 |
$0.00 |
| 00170 |
|
14 |
12 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
18 |
14 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
17 |
13 |
$0.00 |
| 82010 |
|
24 |
14 |
$0.00 |