| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
258,303 |
236,181 |
$45.94M |
| 99284 |
|
142,749 |
128,408 |
$37.39M |
| 99285 |
|
69,946 |
60,817 |
$19.61M |
| 74177 |
|
6,219 |
5,519 |
$7.63M |
| 99282 |
|
56,571 |
52,794 |
$7.44M |
| G0378 |
Hospital observation per hr |
17,401 |
12,169 |
$7.34M |
| 70450 |
|
17,856 |
15,764 |
$6.01M |
| 99213 |
|
195,348 |
173,041 |
$5.77M |
| 99212 |
|
193,081 |
170,851 |
$4.97M |
| 93005 |
|
106,491 |
86,791 |
$4.85M |
| 96375 |
|
71,115 |
52,657 |
$3.46M |
| 99214 |
|
77,011 |
68,438 |
$3.45M |
| 96374 |
|
106,529 |
86,156 |
$3.23M |
| 71045 |
|
68,410 |
60,630 |
$2.82M |
| 87428 |
|
108,132 |
91,516 |
$2.81M |
| 96372 |
|
73,899 |
56,703 |
$2.64M |
| 99211 |
|
102,609 |
88,387 |
$2.53M |
| 41899 |
|
4,397 |
3,814 |
$2.42M |
| 71046 |
|
29,056 |
25,962 |
$2.12M |
| 96413 |
|
12,714 |
6,933 |
$1.89M |
| 80053 |
|
259,444 |
221,042 |
$1.87M |
| 74176 |
|
1,486 |
1,365 |
$1.67M |
| 80307 |
|
34,473 |
28,862 |
$1.42M |
| 43239 |
|
4,757 |
4,140 |
$1.41M |
| 85025 |
|
251,185 |
208,721 |
$1.27M |
| 87426 |
|
34,352 |
29,726 |
$1.26M |
| 96361 |
|
24,517 |
17,481 |
$1.15M |
| U0003 |
Cov-19 amp prb hgh thruput |
13,597 |
12,514 |
$945K |
| 20610 |
|
1,969 |
1,677 |
$779K |
| 87804 |
|
57,138 |
28,102 |
$751K |
| 0202U |
|
2,188 |
1,944 |
$749K |
| 87880 |
|
51,830 |
46,415 |
$693K |
| 36415 |
|
304,719 |
242,487 |
$563K |
| 84484 |
|
83,216 |
59,692 |
$536K |
| 11042 |
|
2,378 |
1,255 |
$524K |
| 99215 |
Prolong outpt/office vis |
8,621 |
7,115 |
$425K |
| 92507 |
|
14,208 |
4,967 |
$416K |
| 87491 |
|
11,647 |
10,444 |
$361K |
| 94010 |
|
4,021 |
3,737 |
$358K |
| 87591 |
|
11,774 |
10,443 |
$354K |
| 31575 |
|
1,232 |
1,070 |
$350K |
| 73564 |
|
2,689 |
1,809 |
$321K |
| 74178 |
|
168 |
162 |
$297K |
| 73630 |
|
3,094 |
2,343 |
$295K |
| 71260 |
|
657 |
613 |
$295K |
| 81025 |
|
42,254 |
35,845 |
$266K |
| 87661 |
|
8,678 |
7,617 |
$253K |
| U0005 |
Infec agen detec ampli probe |
10,522 |
9,884 |
$239K |
| 74018 |
|
2,305 |
2,110 |
$234K |
| 81001 |
|
126,081 |
106,017 |
$232K |
| 90686 |
|
11,036 |
9,824 |
$228K |
| 76770 |
|
1,155 |
1,077 |
$227K |
| 92557 |
|
2,600 |
2,302 |
$212K |
| 31231 |
|
813 |
712 |
$212K |
| 73610 |
|
2,067 |
1,775 |
$205K |
| 83880 |
|
10,271 |
9,193 |
$203K |
| G0330 |
Facility svs dental rehab |
186 |
146 |
$200K |
| 97530 |
|
9,031 |
3,296 |
$199K |
| 87536 |
|
3,548 |
3,147 |
$193K |
| 45378 |
|
851 |
633 |
$190K |
| 80050 |
|
5,266 |
4,815 |
$184K |
| 95004 |
|
447 |
404 |
$184K |
| 72125 |
|
591 |
522 |
$183K |
| 93306 |
|
308 |
290 |
$182K |
| 72082 |
|
702 |
645 |
$182K |
| 73130 |
|
1,961 |
1,585 |
$179K |
| 45385 |
|
878 |
730 |
$176K |
| 83690 |
|
35,741 |
31,555 |
$173K |
| 77067 |
|
2,017 |
1,875 |
$158K |
| 96376 |
|
3,504 |
1,999 |
$151K |
| J0561 |
Penicillin g benzathine inj |
898 |
747 |
$151K |
| J1885 |
Ketorolac tromethamine inj |
41,455 |
33,154 |
$150K |
| 96365 |
|
1,901 |
1,432 |
$149K |
| 80061 |
|
13,765 |
12,377 |
$148K |
| 73502 |
|
1,987 |
1,382 |
$148K |
| 83036 |
|
18,118 |
16,026 |
$143K |
| 97110 |
|
3,928 |
1,005 |
$130K |
| 82077 |
|
14,623 |
11,881 |
$123K |
| 73110 |
|
1,392 |
1,115 |
$122K |
| 76775 |
|
685 |
632 |
$121K |
| 70551 |
|
174 |
153 |
$114K |
| 20605 |
|
222 |
198 |
$113K |
| 94640 |
|
3,051 |
1,646 |
$108K |
| 87807 |
|
9,472 |
8,388 |
$103K |
| 73100 |
|
2,186 |
1,742 |
$102K |
| 92551 |
|
4,493 |
3,918 |
$101K |
| J2405 |
Ondansetron hcl injection |
52,620 |
40,583 |
$96K |
| 76700 |
|
352 |
332 |
$95K |
| J2469 |
Palonosetron hcl |
979 |
552 |
$89K |
| C1776 |
Joint device (implantable) |
51 |
25 |
$88K |
| 74019 |
|
834 |
769 |
$85K |
| 70553 |
|
59 |
58 |
$84K |
| 87070 |
|
10,332 |
9,476 |
$83K |
| 92134 |
|
2,759 |
2,295 |
$81K |
| 87389 |
|
4,037 |
3,450 |
$77K |
| 0002A |
|
2,227 |
2,007 |
$74K |
| J2270 |
Morphine sulfate injection |
17,846 |
13,767 |
$74K |
| 84703 |
|
12,721 |
11,225 |
$73K |
| 80048 |
|
16,172 |
12,415 |
$71K |
| 73140 |
|
929 |
764 |
$71K |
| 45380 |
|
562 |
431 |
$69K |
| 11719 |
|
1,351 |
1,186 |
$68K |
| 31579 |
|
232 |
212 |
$68K |
| 76856 |
|
295 |
275 |
$67K |
| 82306 |
|
2,796 |
2,396 |
$66K |
| 95117 |
|
4,982 |
2,670 |
$64K |
| 0001A |
|
2,341 |
2,007 |
$63K |
| 73030 |
|
635 |
534 |
$63K |
| 90677 |
|
483 |
365 |
$60K |
| J1100 |
Dexamethasone sodium phos |
24,240 |
15,854 |
$60K |
| 76705 |
|
351 |
317 |
$60K |
| 97597 |
|
1,135 |
631 |
$59K |
| 90670 |
|
337 |
308 |
$58K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
499 |
374 |
$57K |
| 88184 |
|
2,422 |
2,134 |
$57K |
| 88185 |
|
3,051 |
2,132 |
$56K |
| 73080 |
|
632 |
502 |
$56K |
| 96417 |
|
706 |
394 |
$54K |
| 95806 |
|
280 |
260 |
$54K |
| 97602 |
|
993 |
676 |
$54K |
| 96360 |
|
856 |
621 |
$51K |
| 73721 |
|
56 |
53 |
$50K |
| 87633 |
|
216 |
156 |
$49K |
| 96367 |
|
1,158 |
655 |
$48K |
| 86003 |
|
532 |
383 |
$48K |
| 71250 |
|
259 |
248 |
$46K |
| 94729 |
|
676 |
610 |
$45K |
| 73090 |
|
457 |
345 |
$45K |
| 92567 |
|
2,072 |
1,848 |
$45K |
| 72100 |
|
342 |
321 |
$45K |
| 82550 |
|
11,302 |
9,341 |
$45K |
| 82962 |
|
30,250 |
14,289 |
$44K |
| 87635 |
|
1,390 |
1,257 |
$43K |
| 69436 |
|
185 |
156 |
$42K |
| 84439 |
|
5,316 |
4,705 |
$42K |
| 92250 |
|
451 |
433 |
$42K |
| 73560 |
|
441 |
221 |
$42K |
| 92587 |
|
259 |
243 |
$40K |
| 99281 |
|
375 |
354 |
$40K |
| 50590 |
|
92 |
86 |
$40K |
| 92523 |
|
306 |
281 |
$39K |
| 70486 |
|
61 |
57 |
$39K |
| 94060 |
|
440 |
397 |
$39K |
| 94726 |
|
532 |
482 |
$38K |
| J3301 |
Triamcinolone acet inj nos |
5,228 |
3,101 |
$37K |
| 84443 |
|
2,457 |
2,262 |
$37K |
| 83735 |
|
8,570 |
7,291 |
$33K |
| 87086 |
|
5,156 |
4,612 |
$32K |
| 29580 |
|
566 |
224 |
$32K |
| 96366 |
|
268 |
118 |
$32K |
| 17110 |
|
277 |
237 |
$32K |
| 95115 |
|
2,575 |
1,499 |
$31K |
| 81002 |
|
11,086 |
9,843 |
$31K |
| 99173 |
|
4,780 |
3,668 |
$30K |
| 87905 |
|
2,891 |
2,536 |
$29K |
| 73562 |
|
315 |
231 |
$29K |
| G0108 |
Diab manage trn per indiv |
1,571 |
1,383 |
$28K |
| 99291 |
|
33 |
31 |
$28K |
| 95012 |
|
583 |
532 |
$27K |
| 85027 |
|
8,836 |
6,765 |
$27K |
| 77073 |
|
170 |
121 |
$26K |
| 73620 |
|
314 |
246 |
$26K |
| 51798 |
|
528 |
473 |
$26K |
| J1756 |
Iron sucrose injection |
216 |
100 |
$25K |
| 73590 |
|
292 |
208 |
$24K |
| 96110 |
|
1,509 |
1,088 |
$24K |
| 99202 |
|
1,108 |
912 |
$24K |
| 64483 |
|
67 |
29 |
$22K |
| 73120 |
|
439 |
321 |
$22K |
| 11900 |
|
219 |
196 |
$22K |
| 76830 |
|
141 |
136 |
$22K |
| 92133 |
|
552 |
466 |
$22K |
| J1642 |
Inj heparin sodium per 10 u |
9,789 |
4,024 |
$21K |
| 95165 |
|
70 |
66 |
$21K |
| 92504 |
|
875 |
731 |
$20K |
| 77072 |
|
188 |
152 |
$19K |
| 72052 |
|
121 |
116 |
$19K |
| 86780 |
|
1,933 |
1,400 |
$19K |
| 82043 |
|
4,011 |
3,411 |
$19K |
| P9016 |
Rbc leukocytes reduced |
67 |
52 |
$19K |
| 99201 |
|
855 |
693 |
$18K |
| 92083 |
|
337 |
289 |
$18K |
| 73522 |
|
132 |
123 |
$17K |
| 96415 |
|
290 |
188 |
$17K |
| 83655 |
|
1,215 |
1,181 |
$16K |
| 85610 |
|
5,959 |
3,622 |
$16K |
| 86803 |
|
1,276 |
1,097 |
$16K |
| 71271 |
|
161 |
145 |
$15K |
| J3010 |
Fentanyl citrate injection |
17,894 |
12,371 |
$15K |
| 90750 |
|
119 |
99 |
$15K |
| 82570 |
|
4,550 |
3,495 |
$15K |
| 0003A |
|
448 |
372 |
$15K |
| 72070 |
|
123 |
115 |
$14K |
| J1170 |
Hydromorphone injection |
1,698 |
919 |
$14K |
| 78452 |
|
14 |
14 |
$13K |
| 90732 |
|
123 |
115 |
$13K |
| 80074 |
|
302 |
262 |
$12K |
| 52000 |
|
59 |
41 |
$12K |
| 90832 |
|
242 |
166 |
$12K |
| 83605 |
|
1,956 |
1,384 |
$12K |
| 90656 |
|
1,538 |
1,303 |
$12K |
| 92588 |
|
166 |
149 |
$11K |
| 86704 |
|
1,105 |
947 |
$11K |
| M0243 |
Casirivi and imdevi inj |
43 |
30 |
$11K |
| 78815 |
|
19 |
12 |
$11K |
| 70355 |
|
125 |
107 |
$10K |
| 72114 |
|
70 |
67 |
$10K |
| 86706 |
|
1,106 |
948 |
$10K |
| 80076 |
|
1,845 |
1,645 |
$10K |
| 83021 |
|
560 |
487 |
$10K |
| 86592 |
|
2,752 |
2,451 |
$10K |
| 25600 |
|
72 |
64 |
$10K |
| 72050 |
|
61 |
56 |
$10K |
| 85018 |
|
3,816 |
3,667 |
$10K |
| 86481 |
|
174 |
164 |
$10K |
| 87340 |
|
1,066 |
913 |
$9K |
| 86140 |
|
2,866 |
2,561 |
$9K |
| 43235 |
|
58 |
49 |
$9K |
| 85045 |
|
2,903 |
2,595 |
$9K |
| 55700 |
|
25 |
25 |
$9K |
| 92579 |
|
123 |
111 |
$9K |
| J2704 |
Inj, propofol, 10 mg |
14,331 |
7,549 |
$9K |
| 84153 |
|
508 |
471 |
$9K |
| 36430 |
|
55 |
37 |
$9K |
| 90734 |
|
79 |
75 |
$8K |
| 67028 |
|
53 |
40 |
$8K |
| 86708 |
|
784 |
659 |
$8K |
| 86920 |
|
118 |
95 |
$8K |
| 94760 |
|
443 |
382 |
$7K |
| 81003 |
|
5,223 |
4,525 |
$7K |
| J1453 |
Fosaprepitant injection |
55 |
25 |
$7K |
| 86709 |
|
764 |
644 |
$7K |
| 95810 |
|
12 |
12 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
1,990 |
1,645 |
$7K |
| 76000 |
|
731 |
590 |
$7K |
| 72170 |
|
70 |
63 |
$6K |
| 99203 |
|
216 |
208 |
$6K |
| 74240 |
|
26 |
24 |
$6K |
| 47562 |
|
12 |
12 |
$6K |
| 93017 |
|
32 |
30 |
$6K |
| 95819 |
|
25 |
25 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
9,122 |
6,642 |
$6K |
| C9290 |
Inj, bupivacaine liposome |
18 |
13 |
$6K |
| 52356 |
|
18 |
12 |
$5K |
| 90715 |
|
208 |
165 |
$5K |
| 82378 |
|
318 |
297 |
$5K |
| 82728 |
|
632 |
554 |
$5K |
| 87798 |
|
190 |
131 |
$5K |
| G0498 |
Chemo extend iv infus w/pump |
32 |
12 |
$5K |
| 96409 |
|
48 |
25 |
$5K |
| 0004A |
|
150 |
112 |
$5K |
| 96411 |
|
77 |
37 |
$5K |
| 90471 |
|
19,128 |
14,511 |
$5K |
| 86850 |
|
902 |
714 |
$4K |
| C1769 |
Guide wire |
1,028 |
705 |
$4K |
| 86300 |
|
250 |
226 |
$4K |
| 70360 |
|
42 |
38 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
1,769 |
1,355 |
$4K |
| 87486 |
|
196 |
155 |
$4K |
| 87581 |
|
196 |
155 |
$4K |
| 99406 |
|
664 |
545 |
$4K |
| 85730 |
|
1,255 |
1,045 |
$4K |
| 64721 |
|
18 |
15 |
$4K |
| 93970 |
|
12 |
12 |
$4K |
| 76870 |
|
13 |
12 |
$4K |
| 87641 |
|
122 |
115 |
$4K |
| 87040 |
|
454 |
354 |
$3K |
| J0690 |
Cefazolin sodium injection |
6,129 |
3,706 |
$3K |
| 31237 |
|
20 |
13 |
$3K |
| 97166 |
|
54 |
46 |
$3K |
| 92550 |
|
85 |
75 |
$3K |
| C9803 |
Hopd covid-19 spec collect |
46,623 |
37,780 |
$3K |
| 73000 |
|
46 |
36 |
$3K |
| 87640 |
|
124 |
115 |
$3K |
| 0071A |
|
75 |
68 |
$3K |
| 92012 |
|
148 |
119 |
$3K |
| C1894 |
Intro/sheath, non-laser |
1,599 |
1,092 |
$2K |
| 92014 |
|
67 |
56 |
$2K |
| 93971 |
|
13 |
12 |
$2K |
| 29581 |
|
43 |
12 |
$2K |
| 0072A |
|
67 |
60 |
$2K |
| 85652 |
|
1,354 |
1,233 |
$2K |
| C1725 |
Cath, translumin non-laser |
444 |
288 |
$2K |
| 90746 |
|
32 |
25 |
$2K |
| J1650 |
Inj enoxaparin sodium |
172 |
75 |
$2K |
| 86901 |
|
890 |
700 |
$2K |
| 86900 |
|
889 |
700 |
$2K |
| 31624 |
|
13 |
13 |
$2K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
598 |
427 |
$2K |
| L3702 |
Eo w/o joints cf |
15 |
14 |
$2K |
| 90756 |
|
97 |
82 |
$2K |
| 97803 |
|
87 |
80 |
$2K |
| 82553 |
|
252 |
208 |
$2K |
| 97162 |
|
30 |
24 |
$2K |
| 83718 |
|
185 |
179 |
$2K |
| 83615 |
|
302 |
277 |
$2K |
| 26720 |
|
12 |
12 |
$1K |
| 92610 |
|
88 |
72 |
$1K |
| 0124A |
|
83 |
44 |
$1K |
| 92552 |
|
31 |
29 |
$1K |
| 90472 |
|
3,322 |
2,426 |
$1K |
| 80069 |
|
350 |
195 |
$1K |
| 69210 |
|
13 |
13 |
$1K |
| 83516 |
|
105 |
97 |
$1K |
| 0054A |
|
35 |
34 |
$1K |
| 86701 |
|
112 |
97 |
$1K |
| 95816 |
|
14 |
14 |
$1K |
| 93922 |
|
14 |
13 |
$1K |
| J0500 |
Dicyclomine injection |
13 |
12 |
$1K |
| C9399 |
Unclassified drugs or biolog |
307 |
240 |
$1K |
| 82784 |
|
105 |
101 |
$1K |
| 96160 |
|
36 |
32 |
$912.78 |
| J2360 |
Orphenadrine injection |
27 |
26 |
$886.08 |
| 87522 |
Neg quan hep c or qual rna |
26 |
24 |
$796.34 |
| 73070 |
|
16 |
12 |
$789.60 |
| 90651 |
|
75 |
63 |
$758.27 |
| J2001 |
Lidocaine injection |
1,896 |
1,365 |
$750.06 |
| 86160 |
|
117 |
65 |
$738.11 |
| 82465 |
|
186 |
180 |
$737.90 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
836 |
636 |
$695.42 |
| J7512 |
Prednisone ir or dr oral 1mg |
429 |
348 |
$658.61 |
| J7613 |
Albuterol non-comp unit |
407 |
305 |
$628.04 |
| U0002 |
Covid-19 lab test non-cdc |
24 |
24 |
$615.96 |
| 93289 |
|
12 |
12 |
$607.92 |
| J9060 |
Cisplatin 10 mg injection |
25 |
13 |
$595.65 |
| 80177 |
|
42 |
41 |
$586.99 |
| J9045 |
Carboplatin injection |
14 |
12 |
$584.46 |
| 82150 |
|
120 |
104 |
$572.32 |
| 92556 |
|
23 |
17 |
$556.48 |
| J7620 |
Albuterol ipratrop non-comp |
243 |
212 |
$509.25 |
| J1644 |
Inj heparin sodium per 1000u |
4,849 |
2,675 |
$486.35 |
| J0330 |
Succinycholine chloride inj |
1,184 |
1,003 |
$486.31 |
| 85660 |
|
142 |
52 |
$484.88 |
| 85007 |
|
222 |
205 |
$480.38 |
| J3370 |
Vancomycin hcl injection |
209 |
130 |
$454.30 |
| 87210 |
|
119 |
113 |
$452.38 |
| 90621 |
|
129 |
107 |
$397.29 |
| J0780 |
Prochlorperazine injection |
32 |
28 |
$381.86 |
| 82607 |
|
28 |
26 |
$367.88 |
| 84702 |
|
27 |
26 |
$346.15 |
| J7644 |
Ipratropium bromide non-comp |
171 |
149 |
$342.80 |
| J3490 |
Drugs unclassified injection |
376 |
295 |
$313.86 |
| 84466 |
|
40 |
29 |
$309.10 |
| J2272 |
Inj, morphine (fresenius) |
114 |
50 |
$293.67 |
| 90662 |
|
104 |
93 |
$285.11 |
| J1790 |
Droperidol injection |
52 |
44 |
$265.77 |
| 86225 |
|
43 |
39 |
$251.22 |
| J2060 |
Lorazepam injection |
55 |
51 |
$251.11 |
| 82652 |
|
15 |
15 |
$249.48 |
| 88175 |
|
18 |
12 |
$248.00 |
| 90619 |
|
116 |
90 |
$246.90 |
| 94618 |
|
12 |
12 |
$238.92 |
| 91300 |
|
6,370 |
4,522 |
$197.97 |
| 82375 |
|
29 |
25 |
$193.02 |
| 85379 |
|
33 |
26 |
$172.60 |
| 86777 |
|
16 |
15 |
$165.60 |
| 82105 |
|
12 |
12 |
$150.21 |
| J7510 |
Prednisolone oral per 5 mg |
73 |
67 |
$148.59 |
| 90480 |
|
15 |
15 |
$147.90 |
| 80143 |
|
21 |
12 |
$140.22 |
| S0077 |
Injection, clindamycin phosp |
56 |
12 |
$127.67 |
| 83050 |
|
29 |
25 |
$123.00 |
| J2550 |
Promethazine hcl injection |
214 |
172 |
$121.52 |
| 84156 |
|
34 |
30 |
$111.56 |
| 82977 |
|
12 |
12 |
$105.54 |
| J2710 |
Neostigmine methylslfte inj |
544 |
416 |
$99.67 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
19 |
12 |
$97.32 |
| 82247 |
|
25 |
12 |
$84.42 |
| 82248 |
|
25 |
12 |
$84.42 |
| 92015 |
|
16 |
12 |
$81.78 |
| 83540 |
|
25 |
17 |
$76.08 |
| J2765 |
Metoclopramide hcl injection |
34 |
29 |
$67.92 |
| 97802 |
|
12 |
12 |
$61.80 |
| 87205 |
|
32 |
24 |
$52.58 |
| 86593 |
|
17 |
12 |
$50.29 |
| 85014 |
|
17 |
13 |
$34.45 |
| J0670 |
Inj mepivacaine hcl/10 ml |
55 |
39 |
$24.87 |
| 83550 |
|
29 |
15 |
$8.74 |
| G0463 |
Hospital outpt clinic visit |
6,120 |
3,930 |
$8.49 |
| 90474 |
|
35 |
24 |
$6.28 |
| 91305 |
|
118 |
113 |
$0.28 |
| 91312 |
|
94 |
46 |
$0.28 |
| G1004 |
Cdsm ndsc |
1,741 |
1,366 |
$0.05 |
| 90697 |
|
295 |
228 |
$0.00 |
| C1768 |
Graft, vascular |
21 |
13 |
$0.00 |
| 84132 |
|
613 |
336 |
$0.00 |
| 31653 |
|
12 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
777 |
675 |
$0.00 |
| 91307 |
|
155 |
114 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
57 |
51 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
70 |
68 |
$0.00 |
| 90680 |
|
67 |
44 |
$0.00 |
| 02024 |
|
12 |
12 |
$0.00 |
| 36832 |
|
21 |
12 |
$0.00 |
| 87077 |
|
17 |
12 |
$0.00 |
| 90671 |
|
97 |
70 |
$0.00 |
| A6402 |
Sterile gauze <= 16 sq in |
264 |
225 |
$0.00 |
| 76942 |
|
25 |
25 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
24 |
24 |
$0.00 |
| 90633 |
|
71 |
67 |
$0.00 |
| 31627 |
|
27 |
26 |
$0.00 |
| U0001 |
2019-ncov diagnostic p |
38 |
38 |
$0.00 |
| 90710 |
|
21 |
12 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
47 |
32 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
49 |
24 |
$0.00 |