| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
38,805 |
36,270 |
$4.13M |
| 96361 |
|
13,494 |
11,445 |
$3.97M |
| 99284 |
|
39,088 |
36,342 |
$3.70M |
| 99285 |
|
38,658 |
35,637 |
$3.46M |
| 74177 |
|
9,078 |
8,746 |
$1.57M |
| 70450 |
|
9,659 |
9,230 |
$1.16M |
| 59025 |
|
7,129 |
5,008 |
$1.10M |
| 69436 |
|
620 |
619 |
$913K |
| 96165 |
|
4,756 |
1,338 |
$906K |
| 97530 |
|
23,130 |
11,907 |
$883K |
| 96365 |
|
7,491 |
5,844 |
$850K |
| 93306 |
|
3,735 |
3,695 |
$848K |
| G0463 |
Hospital outpt clinic visit |
11,743 |
6,745 |
$739K |
| 74176 |
|
4,047 |
3,925 |
$690K |
| 96366 |
|
2,772 |
2,151 |
$657K |
| 71275 |
|
3,760 |
3,674 |
$599K |
| 99282 |
|
7,210 |
6,879 |
$592K |
| 80307 |
|
18,411 |
16,499 |
$561K |
| 78452 |
|
1,401 |
1,378 |
$559K |
| 99281 |
|
4,023 |
3,743 |
$504K |
| 96360 |
|
4,682 |
4,016 |
$495K |
| 42820 |
|
310 |
310 |
$493K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,991 |
5,737 |
$467K |
| 76705 |
|
5,019 |
4,851 |
$460K |
| 97112 |
|
14,923 |
7,224 |
$430K |
| 97140 |
|
18,522 |
8,271 |
$417K |
| 97110 |
|
19,309 |
9,493 |
$397K |
| 76830 |
|
3,695 |
3,625 |
$311K |
| G0378 |
Hospital observation per hr |
17,738 |
5,862 |
$304K |
| 92507 |
|
6,656 |
3,308 |
$296K |
| 93971 |
|
2,934 |
2,820 |
$275K |
| 87635 |
|
9,328 |
8,905 |
$272K |
| 96164 |
|
4,758 |
1,339 |
$255K |
| 80053 |
|
49,973 |
44,214 |
$240K |
| 71046 |
|
20,070 |
19,100 |
$221K |
| 90837 |
|
1,071 |
486 |
$196K |
| 99291 |
|
3,457 |
3,338 |
$185K |
| 76801 |
|
2,960 |
2,687 |
$172K |
| 76856 |
|
4,083 |
4,003 |
$172K |
| 80048 |
|
36,626 |
31,040 |
$164K |
| 93017 |
|
1,734 |
1,700 |
$152K |
| 93458 |
|
194 |
191 |
$151K |
| 12001 |
|
666 |
657 |
$147K |
| 70498 |
|
1,364 |
1,336 |
$145K |
| 76770 |
|
1,545 |
1,509 |
$141K |
| 97162 |
|
3,417 |
3,340 |
$138K |
| 95810 |
|
314 |
308 |
$132K |
| 76937 |
|
3,653 |
3,370 |
$128K |
| 97161 |
|
2,755 |
2,702 |
$119K |
| 70553 |
|
534 |
527 |
$106K |
| 87591 |
|
6,245 |
6,067 |
$96K |
| C8929 |
Tte w or wo fol wcon,doppler |
458 |
449 |
$96K |
| 70496 |
|
1,023 |
1,004 |
$88K |
| 84484 |
|
18,285 |
14,214 |
$87K |
| 70551 |
|
508 |
494 |
$84K |
| 36415 |
|
43,582 |
35,062 |
$75K |
| 36430 |
|
766 |
528 |
$74K |
| 76817 |
|
2,490 |
2,276 |
$73K |
| 76805 |
|
1,042 |
1,032 |
$72K |
| 76870 |
|
776 |
761 |
$70K |
| 12011 |
|
288 |
287 |
$67K |
| 84443 |
|
9,230 |
9,032 |
$67K |
| 43239 |
|
306 |
303 |
$65K |
| 10061 |
|
297 |
288 |
$65K |
| H0036 |
Comm psy face-face per 15min |
890 |
389 |
$65K |
| 71250 |
|
1,201 |
1,184 |
$62K |
| 85025 |
|
73,218 |
63,328 |
$60K |
| 47563 |
|
25 |
24 |
$58K |
| 76816 |
|
856 |
805 |
$57K |
| H0004 |
Alcohol and/or drug services |
501 |
401 |
$57K |
| 97535 |
|
2,842 |
2,196 |
$54K |
| 73610 |
|
3,076 |
2,912 |
$53K |
| 97166 |
|
1,260 |
1,231 |
$52K |
| 97113 |
|
1,263 |
599 |
$51K |
| 73630 |
|
3,181 |
3,006 |
$51K |
| 72100 |
|
3,030 |
2,986 |
$50K |
| 10060 |
|
217 |
213 |
$47K |
| 87510 |
|
4,453 |
4,316 |
$46K |
| 93005 |
|
25,190 |
23,133 |
$46K |
| 73130 |
|
2,890 |
2,634 |
$44K |
| 92523 |
|
380 |
379 |
$44K |
| 72148 |
|
343 |
338 |
$44K |
| 73030 |
|
3,053 |
2,799 |
$42K |
| 76700 |
|
422 |
421 |
$42K |
| 90715 |
|
2,156 |
2,131 |
$42K |
| 87040 |
|
6,441 |
3,578 |
$41K |
| 76536 |
|
466 |
460 |
$40K |
| 83036 |
|
6,936 |
6,853 |
$40K |
| 95816 |
|
254 |
253 |
$37K |
| 84145 |
|
4,055 |
3,817 |
$37K |
| 80061 |
|
5,070 |
5,013 |
$36K |
| 96374 |
|
20,299 |
18,323 |
$36K |
| 74018 |
|
1,879 |
1,793 |
$35K |
| 87400 |
|
2,371 |
2,341 |
$34K |
| 73110 |
|
1,972 |
1,853 |
$34K |
| 12002 |
|
193 |
191 |
$34K |
| 73562 |
|
984 |
940 |
$34K |
| 47562 |
|
13 |
13 |
$33K |
| 93970 |
|
352 |
346 |
$32K |
| 97165 |
|
804 |
782 |
$32K |
| 87660 |
|
4,452 |
4,315 |
$31K |
| 92526 |
|
660 |
430 |
$28K |
| 94640 |
|
4,036 |
2,545 |
$27K |
| 87491 |
|
6,224 |
6,057 |
$27K |
| 73140 |
|
1,257 |
1,206 |
$25K |
| 73560 |
|
2,549 |
2,394 |
$25K |
| 72040 |
|
1,494 |
1,471 |
$25K |
| 83605 |
|
4,804 |
4,002 |
$24K |
| 87086 |
|
8,356 |
7,948 |
$23K |
| 86780 |
|
2,034 |
2,009 |
$23K |
| 87633 |
|
1,699 |
1,668 |
$23K |
| 76815 |
|
379 |
354 |
$22K |
| 85379 |
|
4,289 |
4,169 |
$22K |
| 73502 |
|
1,665 |
1,579 |
$22K |
| 87486 |
|
1,699 |
1,668 |
$22K |
| 70470 |
|
251 |
246 |
$21K |
| 87631 |
|
389 |
382 |
$21K |
| 72125 |
|
2,500 |
2,414 |
$21K |
| 42830 |
|
14 |
14 |
$21K |
| P9016 |
Rbc leukocytes reduced |
93 |
77 |
$20K |
| 87480 |
|
4,452 |
4,315 |
$19K |
| 87798 |
|
1,889 |
1,823 |
$19K |
| H2015 |
Comp comm supp svc, 15 min |
234 |
75 |
$19K |
| 83880 |
|
3,995 |
3,725 |
$19K |
| 71260 |
|
273 |
266 |
$19K |
| 85027 |
|
12,615 |
10,524 |
$19K |
| 95811 |
|
50 |
48 |
$19K |
| 87641 |
|
1,671 |
1,630 |
$18K |
| 97116 |
|
1,441 |
944 |
$18K |
| 86803 |
|
2,306 |
2,277 |
$17K |
| 87581 |
|
1,699 |
1,668 |
$16K |
| 82607 |
|
1,721 |
1,677 |
$15K |
| M0243 |
Casirivi and imdevi inj |
64 |
64 |
$15K |
| 70486 |
|
686 |
669 |
$15K |
| 45380 |
|
68 |
68 |
$15K |
| 76882 |
|
199 |
175 |
$14K |
| 87389 |
|
2,781 |
2,746 |
$14K |
| 84439 |
|
3,361 |
3,284 |
$14K |
| 84702 |
|
3,948 |
3,329 |
$14K |
| 52356 |
|
12 |
12 |
$13K |
| 71045 |
|
10,752 |
9,823 |
$13K |
| 96367 |
|
413 |
339 |
$13K |
| 84403 |
|
730 |
711 |
$12K |
| 70491 |
|
104 |
103 |
$12K |
| 83498 |
|
473 |
463 |
$11K |
| 94726 |
|
394 |
383 |
$11K |
| 97763 |
|
45 |
25 |
$11K |
| 86140 |
|
3,644 |
3,381 |
$10K |
| 81001 |
|
27,705 |
25,692 |
$10K |
| 80050 |
|
1,436 |
1,431 |
$10K |
| G0480 |
Drug test def 1-7 classes |
884 |
838 |
$10K |
| 29125 |
|
41 |
40 |
$9K |
| 85651 |
|
2,812 |
2,630 |
$9K |
| 83735 |
|
6,881 |
5,070 |
$9K |
| 74174 |
|
45 |
43 |
$8K |
| 87186 |
|
4,014 |
3,844 |
$8K |
| 84112 |
|
991 |
904 |
$8K |
| 83690 |
|
16,012 |
14,667 |
$8K |
| 87420 |
|
357 |
354 |
$8K |
| 82306 |
|
978 |
965 |
$8K |
| 88307 |
|
448 |
441 |
$7K |
| 80076 |
|
2,074 |
1,979 |
$7K |
| 86850 |
|
4,737 |
4,403 |
$7K |
| 94729 |
|
420 |
409 |
$7K |
| 82247 |
|
1,031 |
716 |
$7K |
| 73590 |
|
957 |
881 |
$7K |
| 87340 |
|
2,082 |
2,039 |
$7K |
| 87070 |
|
3,933 |
3,284 |
$7K |
| 81025 |
|
14,243 |
13,609 |
$7K |
| 74019 |
|
321 |
314 |
$7K |
| 86901 |
|
6,042 |
5,350 |
$7K |
| 82570 |
|
1,738 |
1,630 |
$6K |
| 82962 |
|
22,226 |
10,507 |
$6K |
| 97163 |
|
166 |
162 |
$6K |
| 76819 |
|
181 |
120 |
$6K |
| 73090 |
|
619 |
571 |
$6K |
| 80143 |
|
565 |
533 |
$6K |
| 90853 |
|
68 |
15 |
$6K |
| 83020 |
|
361 |
352 |
$6K |
| 84466 |
|
996 |
964 |
$6K |
| 85610 |
|
19,333 |
13,020 |
$6K |
| 84437 |
|
361 |
352 |
$5K |
| H0023 |
Alcohol and/or drug outreach |
34 |
24 |
$5K |
| 96375 |
|
15,766 |
13,613 |
$5K |
| 85055 |
|
1,638 |
1,338 |
$5K |
| 72070 |
|
274 |
266 |
$5K |
| 87077 |
|
3,745 |
3,492 |
$4K |
| 96372 |
|
11,486 |
10,231 |
$4K |
| H0001 |
Alcohol and/or drug assess |
31 |
31 |
$4K |
| 87653 |
|
286 |
285 |
$4K |
| 82728 |
|
1,079 |
1,050 |
$4K |
| 85014 |
|
2,104 |
1,729 |
$4K |
| 82746 |
|
782 |
765 |
$4K |
| 86900 |
|
6,036 |
5,346 |
$4K |
| 80179 |
|
1,693 |
1,608 |
$4K |
| 87505 |
|
254 |
249 |
$4K |
| 84030 |
|
362 |
352 |
$4K |
| 97760 |
|
170 |
144 |
$4K |
| 83540 |
|
1,190 |
1,138 |
$4K |
| A9270 |
Non-covered item or service |
23,068 |
4,679 |
$3K |
| 73070 |
|
528 |
498 |
$3K |
| 96413 |
|
95 |
88 |
$3K |
| 87205 |
|
3,767 |
3,185 |
$3K |
| 86706 |
|
830 |
812 |
$3K |
| 96415 |
|
14 |
14 |
$3K |
| 82043 |
|
1,036 |
1,026 |
$3K |
| 93880 |
|
61 |
60 |
$3K |
| 81003 |
|
6,098 |
5,030 |
$3K |
| 86480 |
|
244 |
240 |
$3K |
| 72170 |
|
656 |
638 |
$3K |
| 82248 |
|
333 |
275 |
$3K |
| 92610 |
|
91 |
86 |
$3K |
| 87651 |
|
462 |
460 |
$2K |
| 86923 |
|
222 |
186 |
$2K |
| 71101 |
|
120 |
118 |
$2K |
| 82550 |
|
1,343 |
1,116 |
$2K |
| 86704 |
|
614 |
607 |
$2K |
| 87147 |
|
1,543 |
1,489 |
$2K |
| 82565 |
|
2,962 |
2,881 |
$2K |
| J2405 |
Ondansetron hcl injection |
23,087 |
18,666 |
$2K |
| 84703 |
|
5,000 |
4,840 |
$2K |
| J3490 |
Drugs unclassified injection |
2,678 |
2,484 |
$2K |
| J2310 |
Inj naloxone hydrochloride |
381 |
342 |
$2K |
| 0202U |
|
2,985 |
2,918 |
$2K |
| 84100 |
|
1,741 |
1,281 |
$2K |
| 99211 |
|
17 |
15 |
$2K |
| 87081 |
|
959 |
929 |
$2K |
| 86762 |
|
541 |
537 |
$2K |
| 83655 |
|
105 |
105 |
$2K |
| 85018 |
|
1,799 |
1,459 |
$2K |
| 86038 |
|
305 |
302 |
$2K |
| 88185 |
|
91 |
74 |
$2K |
| 93922 |
|
41 |
40 |
$2K |
| 84480 |
|
249 |
245 |
$2K |
| C1776 |
Joint device (implantable) |
194 |
190 |
$2K |
| J7030 |
Normal saline solution infus |
14,473 |
11,650 |
$1K |
| 87880 |
|
1,113 |
1,099 |
$1K |
| 73660 |
|
69 |
67 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
19,379 |
17,988 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
16,778 |
14,135 |
$1K |
| 72141 |
|
12 |
12 |
$1K |
| 85652 |
|
782 |
728 |
$1K |
| 87804 |
|
26 |
17 |
$1K |
| 87640 |
|
459 |
445 |
$1K |
| J1100 |
Dexamethasone sodium phos |
11,860 |
11,110 |
$1K |
| 94060 |
|
30 |
29 |
$1K |
| 88305 |
|
2,775 |
2,658 |
$1K |
| J1170 |
Hydromorphone injection |
15,721 |
10,496 |
$1K |
| 86787 |
|
330 |
327 |
$1K |
| 90471 |
|
2,395 |
2,342 |
$1K |
| J3010 |
Fentanyl citrate injection |
20,069 |
15,588 |
$1K |
| 96376 |
|
5,050 |
4,330 |
$1K |
| 74230 |
|
12 |
12 |
$1K |
| 84146 |
|
71 |
69 |
$1K |
| 89051 |
|
478 |
409 |
$1K |
| 82950 |
|
292 |
290 |
$1K |
| 82077 |
|
1,562 |
1,478 |
$971.36 |
| J2704 |
Inj, propofol, 10 mg |
10,528 |
10,177 |
$970.40 |
| J2001 |
Lidocaine injection |
15,458 |
12,425 |
$907.95 |
| 87088 |
|
229 |
223 |
$874.80 |
| M0247 |
Sotrovimab infusion |
13 |
13 |
$861.66 |
| 87075 |
|
794 |
738 |
$848.68 |
| 99152 |
|
2,200 |
2,095 |
$821.01 |
| 92650 |
|
24 |
24 |
$802.08 |
| 97164 |
|
45 |
43 |
$768.20 |
| 80164 |
|
81 |
77 |
$670.27 |
| C1725 |
Cath, translumin non-laser |
502 |
448 |
$645.13 |
| 85730 |
|
2,371 |
2,227 |
$621.18 |
| J2250 |
Inj midazolam hydrochloride |
13,236 |
11,945 |
$620.41 |
| 86376 |
|
41 |
41 |
$611.01 |
| J2765 |
Metoclopramide hcl injection |
3,725 |
3,193 |
$543.17 |
| 36592 |
|
250 |
238 |
$538.81 |
| 77012 |
|
12 |
12 |
$520.02 |
| J3475 |
Inj magnesium sulfate |
1,467 |
1,224 |
$494.46 |
| 87210 |
|
647 |
630 |
$492.76 |
| 73060 |
|
40 |
36 |
$483.38 |
| 88342 |
|
726 |
685 |
$481.32 |
| 80177 |
|
49 |
49 |
$476.63 |
| J7120 |
Ringers lactate infusion |
7,773 |
6,976 |
$458.54 |
| J1200 |
Diphenhydramine hcl injectio |
5,506 |
4,858 |
$455.42 |
| 80178 |
|
42 |
39 |
$446.13 |
| J0696 |
Ceftriaxone sodium injection |
4,913 |
3,534 |
$439.26 |
| 36591 |
|
813 |
757 |
$419.88 |
| C1769 |
Guide wire |
2,849 |
2,718 |
$418.69 |
| G1004 |
Cdsm ndsc |
18,213 |
15,833 |
$413.75 |
| 84156 |
|
243 |
203 |
$399.61 |
| J2930 |
Methylprednisolone injection |
1,088 |
849 |
$395.24 |
| 97542 |
|
12 |
12 |
$394.76 |
| 88304 |
|
1,034 |
1,022 |
$392.82 |
| J0690 |
Cefazolin sodium injection |
7,126 |
5,692 |
$367.27 |
| 97130 |
|
20 |
13 |
$355.30 |
| 82105 |
|
29 |
28 |
$347.82 |
| A9585 |
Gadobutrol injection |
1,574 |
1,514 |
$346.67 |
| 87661 |
|
42 |
40 |
$338.50 |
| J2060 |
Lorazepam injection |
3,602 |
2,924 |
$328.65 |
| 86592 |
|
82 |
80 |
$323.63 |
| J2270 |
Morphine sulfate injection |
5,885 |
4,581 |
$302.56 |
| 99153 |
Mod sedat endo service >5yrs |
1,976 |
1,882 |
$295.22 |
| 84132 |
|
917 |
829 |
$286.95 |
| J2710 |
Neostigmine methylslfte inj |
1,742 |
1,710 |
$271.79 |
| J1815 |
Insulin injection |
5,463 |
2,352 |
$271.59 |
| 82677 |
|
14 |
13 |
$268.78 |
| 82805 |
|
465 |
423 |
$237.22 |
| 94010 |
|
12 |
12 |
$237.10 |
| 84425 |
|
30 |
30 |
$234.33 |
| J1650 |
Inj enoxaparin sodium |
5,405 |
1,702 |
$231.06 |
| 83516 |
|
50 |
27 |
$230.47 |
| 88108 |
|
232 |
205 |
$221.78 |
| 97129 |
|
22 |
13 |
$216.31 |
| 87493 |
|
77 |
75 |
$196.99 |
| 83921 |
|
29 |
29 |
$191.60 |
| 84550 |
|
72 |
57 |
$184.22 |
| J1642 |
Inj heparin sodium per 10 u |
2,190 |
1,029 |
$176.48 |
| 87116 |
|
94 |
50 |
$170.69 |
| 82731 |
|
16 |
15 |
$170.12 |
| 36410 |
|
136 |
131 |
$151.99 |
| 82670 |
|
12 |
12 |
$148.64 |
| 82360 |
|
25 |
24 |
$132.11 |
| 88341 |
|
279 |
253 |
$129.34 |
| G0500 |
Mod sedat endo service >5yrs |
483 |
476 |
$129.28 |
| J7050 |
Normal saline solution infus |
7,143 |
3,861 |
$118.55 |
| 90686 |
|
14 |
14 |
$114.22 |
| 88184 |
|
87 |
74 |
$104.53 |
| J0171 |
Adrenalin epinephrine inject |
349 |
300 |
$103.59 |
| 73552 |
|
12 |
12 |
$99.43 |
| J2370 |
Phenylephrine hcl injection |
1,782 |
1,697 |
$94.57 |
| 82140 |
|
57 |
54 |
$91.71 |
| 84153 |
|
12 |
12 |
$83.81 |
| 83520 |
|
16 |
12 |
$83.70 |
| 86430 |
|
12 |
12 |
$79.14 |
| 82803 |
|
117 |
104 |
$76.42 |
| 86431 |
|
17 |
16 |
$72.14 |
| 83001 |
|
12 |
12 |
$65.69 |
| J3370 |
Vancomycin hcl injection |
2,476 |
1,452 |
$51.21 |
| 82330 |
|
331 |
295 |
$51.05 |
| 83550 |
|
14 |
14 |
$50.43 |
| 86705 |
|
12 |
12 |
$45.87 |
| J3480 |
Inj potassium chloride |
479 |
305 |
$45.80 |
| 86336 |
|
14 |
13 |
$45.39 |
| J2550 |
Promethazine hcl injection |
1,642 |
1,408 |
$43.92 |
| 86708 |
|
14 |
13 |
$38.77 |
| C1887 |
Catheter, guiding |
1,483 |
1,331 |
$37.20 |
| 87176 |
|
12 |
12 |
$35.87 |
| J2785 |
Regadenoson injection |
1,064 |
1,045 |
$29.98 |
| J7040 |
Normal saline solution infus |
1,810 |
1,682 |
$27.43 |
| 87426 |
|
963 |
879 |
$27.13 |
| J1644 |
Inj heparin sodium per 1000u |
7,810 |
3,742 |
$26.44 |
| J0780 |
Prochlorperazine injection |
990 |
898 |
$25.22 |
| 36600 |
|
86 |
80 |
$24.04 |
| A9500 |
Tc99m sestamibi |
1,677 |
1,443 |
$23.12 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,189 |
1,164 |
$22.03 |
| 82010 |
|
208 |
190 |
$21.88 |
| J0694 |
Cefoxitin sodium injection |
343 |
173 |
$21.37 |
| J7999 |
Compounded drug, noc |
125 |
123 |
$20.37 |
| 87206 |
|
130 |
65 |
$15.50 |
| C1894 |
Intro/sheath, non-laser |
1,885 |
1,808 |
$14.39 |
| U0005 |
Infec agen detec ampli probe |
1,787 |
1,666 |
$13.45 |
| 88313 |
|
14 |
14 |
$12.29 |
| J1630 |
Haloperidol injection |
1,686 |
1,491 |
$12.19 |
| 88112 |
|
177 |
147 |
$11.05 |
| 82945 |
|
13 |
12 |
$8.23 |
| 87015 |
|
67 |
37 |
$5.22 |
| J0330 |
Succinycholine chloride inj |
1,094 |
1,057 |
$5.09 |
| 84157 |
|
14 |
13 |
$4.11 |
| C1758 |
Catheter, ureteral |
254 |
243 |
$3.02 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,970 |
2,088 |
$2.97 |
| L8699 |
Prosthetic implant nos |
448 |
447 |
$2.64 |
| C2617 |
Stent, non-cor, tem w/o del |
148 |
137 |
$2.17 |
| C9113 |
Inj pantoprazole sodium, via |
1,064 |
630 |
$2.16 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,516 |
1,462 |
$1.93 |
| 82947 |
|
142 |
135 |
$1.76 |
| J8540 |
Oral dexamethasone |
169 |
159 |
$0.20 |
| J1940 |
Furosemide injection |
361 |
237 |
$0.00 |
| J1790 |
Droperidol injection |
232 |
211 |
$0.00 |
| S2900 |
Robotic surgical system |
40 |
40 |
$0.00 |
| C1889 |
Implant/insert device, noc |
312 |
287 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
57 |
27 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
562 |
446 |
$0.00 |
| 82435 |
|
160 |
146 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
244 |
216 |
$0.00 |
| 31623 |
|
25 |
24 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
140 |
103 |
$0.00 |
| 94761 |
|
851 |
431 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
41 |
30 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
588 |
533 |
$0.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
30 |
28 |
$0.00 |
| J0500 |
Dicyclomine injection |
104 |
93 |
$0.00 |
| 87636 |
|
126 |
122 |
$0.00 |
| G8987 |
Self care current status |
17 |
15 |
$0.00 |
| C1781 |
Mesh (implantable) |
12 |
12 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
50 |
42 |
$0.00 |
| G8988 |
Self care goal status |
18 |
16 |
$0.00 |
| 0099U |
|
18 |
16 |
$0.00 |
| 74022 |
|
12 |
12 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
661 |
642 |
$0.00 |
| G8978 |
Mobility current status |
411 |
388 |
$0.00 |
| 85347 |
|
82 |
56 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
157 |
119 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
199 |
183 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
43 |
42 |
$0.00 |
| 84295 |
|
177 |
158 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
131 |
115 |
$0.00 |
| G8979 |
Mobility goal status |
449 |
421 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
260 |
228 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
27 |
27 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
195 |
179 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
288 |
269 |
$0.00 |
| J2359 |
Inj. olanzapine, 0.5mg |
133 |
92 |
$0.00 |
| 51702 |
|
12 |
12 |
$0.00 |
| 92611 |
|
12 |
12 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
13 |
13 |
$0.00 |
| 31624 |
|
28 |
26 |
$0.00 |
| G0390 |
Trauma respons w/hosp criti |
41 |
41 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
50 |
12 |
$0.00 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
28 |
26 |
$0.00 |
| 88173 |
|
23 |
12 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
12 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
221 |
154 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
12 |
12 |
$0.00 |