| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
68,015 |
62,897 |
$9.08M |
| 99284 |
|
45,028 |
41,205 |
$7.95M |
| 99285 |
|
16,093 |
14,936 |
$4.34M |
| G0463 |
Hospital outpt clinic visit |
66,148 |
58,312 |
$3.18M |
| 99282 |
|
15,096 |
14,427 |
$1.47M |
| 96374 |
|
20,855 |
19,077 |
$1.31M |
| 96413 |
|
5,459 |
3,168 |
$816K |
| 99291 |
|
1,633 |
1,572 |
$764K |
| G0378 |
Hospital observation per hr |
3,898 |
3,074 |
$657K |
| 45380 |
|
1,261 |
1,251 |
$634K |
| 74177 |
|
6,027 |
5,858 |
$595K |
| 96365 |
|
7,252 |
4,899 |
$585K |
| 43239 |
|
1,816 |
1,800 |
$558K |
| 96375 |
|
19,689 |
15,331 |
$494K |
| 97110 |
|
23,784 |
5,906 |
$467K |
| 58662 |
|
254 |
245 |
$435K |
| 70450 |
|
5,862 |
5,653 |
$388K |
| 96360 |
|
4,247 |
3,397 |
$331K |
| 96361 |
|
13,937 |
11,841 |
$328K |
| 87637 |
|
6,709 |
6,618 |
$317K |
| 71045 |
|
10,755 |
10,237 |
$261K |
| 62323 |
|
1,058 |
792 |
$252K |
| 71046 |
|
10,468 |
9,968 |
$248K |
| 97112 |
|
12,650 |
3,673 |
$241K |
| 97140 |
|
15,167 |
4,098 |
$197K |
| 74176 |
|
2,050 |
2,010 |
$163K |
| 77067 |
|
3,045 |
3,034 |
$146K |
| 82947 |
|
12,821 |
9,656 |
$136K |
| 97162 |
|
2,391 |
2,338 |
$121K |
| 93306 |
|
892 |
867 |
$119K |
| 99281 |
|
1,503 |
1,444 |
$102K |
| 87635 |
|
5,606 |
5,427 |
$89K |
| 96372 |
|
35,706 |
30,421 |
$83K |
| 72148 |
|
715 |
715 |
$78K |
| 80061 |
|
7,839 |
7,726 |
$69K |
| 76856 |
|
1,581 |
1,557 |
$68K |
| 73721 |
|
460 |
445 |
$62K |
| 76830 |
|
1,311 |
1,288 |
$60K |
| 71275 |
|
1,164 |
1,142 |
$59K |
| 20610 |
|
489 |
426 |
$58K |
| Q0138 |
Ferumoxytol, non-esrd |
310 |
187 |
$54K |
| 71260 |
|
933 |
920 |
$52K |
| 99396 |
|
994 |
987 |
$46K |
| 96366 |
|
1,889 |
1,221 |
$45K |
| 99393 |
|
752 |
750 |
$45K |
| 99392 |
|
748 |
745 |
$44K |
| 96417 |
|
1,205 |
750 |
$44K |
| 76700 |
|
721 |
709 |
$41K |
| 12001 |
|
1,439 |
1,429 |
$40K |
| 97161 |
|
790 |
775 |
$40K |
| 70553 |
|
223 |
221 |
$38K |
| 10060 |
|
525 |
517 |
$37K |
| 99391 |
|
613 |
609 |
$36K |
| 90471 |
|
5,264 |
5,143 |
$36K |
| 80053 |
|
28,604 |
25,854 |
$34K |
| 99394 |
|
576 |
576 |
$34K |
| 72110 |
|
1,301 |
1,282 |
$33K |
| 97530 |
|
3,020 |
1,232 |
$33K |
| 84443 |
|
10,173 |
9,987 |
$33K |
| 93971 |
|
878 |
842 |
$32K |
| 76705 |
|
750 |
732 |
$32K |
| 99395 |
|
646 |
643 |
$32K |
| 58661 |
|
12 |
12 |
$31K |
| U0003 |
Cov-19 amp prb hgh thruput |
852 |
832 |
$28K |
| 82306 |
|
3,583 |
3,566 |
$28K |
| 97014 |
|
3,411 |
982 |
$27K |
| 85025 |
|
46,685 |
40,651 |
$26K |
| 93005 |
|
18,312 |
16,491 |
$26K |
| 96367 |
|
820 |
588 |
$25K |
| 73562 |
|
2,881 |
2,616 |
$23K |
| J1439 |
Inj ferric carboxymaltos 1mg |
67 |
39 |
$23K |
| 96523 |
|
806 |
741 |
$22K |
| 96415 |
|
507 |
349 |
$21K |
| 87491 |
|
3,260 |
3,221 |
$20K |
| 73030 |
|
3,101 |
2,836 |
$20K |
| 87591 |
|
3,242 |
3,199 |
$19K |
| 80307 |
|
6,419 |
6,205 |
$19K |
| 73630 |
|
3,947 |
3,672 |
$18K |
| 73610 |
|
3,685 |
3,354 |
$18K |
| J3490 |
Drugs unclassified injection |
32,045 |
17,232 |
$18K |
| 83036 |
|
8,091 |
7,988 |
$18K |
| 70486 |
|
1,091 |
1,078 |
$18K |
| 76801 |
|
417 |
410 |
$18K |
| 73130 |
|
4,276 |
3,776 |
$16K |
| 77063 |
|
1,248 |
1,246 |
$16K |
| 76642 |
|
440 |
418 |
$15K |
| G0260 |
Inj for sacroiliac jt anesth |
53 |
43 |
$14K |
| 90686 |
|
1,286 |
1,276 |
$13K |
| G0008 |
Admin influenza virus vac |
1,767 |
1,757 |
$12K |
| 64493 |
|
27 |
26 |
$12K |
| 90670 |
|
507 |
506 |
$12K |
| G0480 |
Drug test def 1-7 classes |
3,886 |
3,253 |
$12K |
| 73502 |
|
1,337 |
1,292 |
$12K |
| 90472 |
|
1,030 |
1,022 |
$12K |
| 73564 |
|
1,571 |
1,442 |
$11K |
| 73110 |
|
2,456 |
2,177 |
$11K |
| 76770 |
|
221 |
215 |
$10K |
| G0482 |
Drug test def 15-21 classes |
1,132 |
1,105 |
$10K |
| 78815 |
|
13 |
13 |
$10K |
| 12011 |
|
390 |
388 |
$9K |
| 72100 |
|
393 |
392 |
$8K |
| 64400 |
|
84 |
77 |
$8K |
| 72125 |
|
2,162 |
2,112 |
$8K |
| 84439 |
|
4,046 |
3,981 |
$7K |
| 82728 |
|
2,370 |
2,331 |
$7K |
| 82607 |
|
2,115 |
2,098 |
$7K |
| 90651 |
|
167 |
167 |
$7K |
| 45378 |
|
24 |
24 |
$7K |
| 45385 |
|
13 |
13 |
$7K |
| 74018 |
|
1,214 |
1,123 |
$7K |
| 80048 |
|
17,225 |
14,260 |
$6K |
| 12002 |
|
351 |
347 |
$6K |
| 29515 |
|
118 |
110 |
$5K |
| 36415 |
|
16,006 |
14,393 |
$5K |
| 70496 |
|
133 |
132 |
$5K |
| 76536 |
|
116 |
115 |
$5K |
| 97166 |
|
145 |
142 |
$5K |
| G0103 |
Psa screening |
890 |
888 |
$5K |
| 87390 |
|
623 |
621 |
$4K |
| 80074 |
|
284 |
282 |
$4K |
| 73080 |
|
1,034 |
974 |
$4K |
| 83550 |
|
1,982 |
1,953 |
$4K |
| 93976 |
|
84 |
84 |
$4K |
| 83540 |
|
2,354 |
2,309 |
$4K |
| 43235 |
|
12 |
12 |
$3K |
| 72131 |
|
137 |
136 |
$3K |
| G0009 |
Admin pneumococcal vaccine |
670 |
666 |
$3K |
| M0243 |
Casirivi and imdevi inj |
22 |
22 |
$3K |
| 58558 |
|
25 |
25 |
$3K |
| 88305 |
|
4,522 |
4,287 |
$3K |
| U0005 |
Infec agen detec ampli probe |
292 |
284 |
$3K |
| 97035 |
|
530 |
187 |
$3K |
| 10061 |
|
27 |
27 |
$3K |
| 93017 |
|
188 |
175 |
$3K |
| 97116 |
|
706 |
479 |
$3K |
| 94640 |
|
5,057 |
3,242 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,002 |
8,680 |
$3K |
| 77066 |
Tomosynthesis, mammo |
55 |
51 |
$3K |
| 86702 |
|
638 |
634 |
$3K |
| 73590 |
|
724 |
662 |
$3K |
| 87086 |
|
4,916 |
4,773 |
$3K |
| 85027 |
|
5,667 |
4,699 |
$3K |
| 86803 |
|
567 |
562 |
$2K |
| 71250 |
|
55 |
55 |
$2K |
| 86038 |
|
677 |
673 |
$2K |
| 83735 |
|
12,128 |
10,343 |
$2K |
| 82746 |
|
638 |
635 |
$2K |
| 99195 |
|
46 |
38 |
$2K |
| 90688 |
|
243 |
243 |
$2K |
| 82043 |
|
1,144 |
1,141 |
$2K |
| 82570 |
|
1,021 |
1,009 |
$2K |
| A9585 |
Gadobutrol injection |
1,182 |
1,142 |
$2K |
| 73090 |
|
425 |
381 |
$2K |
| 96411 |
|
42 |
24 |
$2K |
| 73221 |
|
12 |
12 |
$2K |
| 85610 |
|
13,092 |
11,934 |
$2K |
| 29125 |
|
490 |
474 |
$2K |
| 71271 |
|
25 |
25 |
$2K |
| 87502 |
|
3,250 |
3,183 |
$2K |
| 86140 |
|
1,607 |
1,508 |
$1K |
| 86701 |
|
591 |
586 |
$1K |
| 86900 |
|
1,718 |
1,657 |
$1K |
| 87070 |
|
1,983 |
1,911 |
$1K |
| 93975 |
|
15 |
15 |
$1K |
| 84460 |
|
5,482 |
5,185 |
$1K |
| M0245 |
Bamlan and etesev infusion |
15 |
15 |
$1K |
| 87661 |
|
114 |
113 |
$1K |
| 84450 |
|
5,472 |
5,175 |
$1K |
| 82565 |
|
4,769 |
4,490 |
$1K |
| 83880 |
|
2,115 |
2,017 |
$1K |
| 29505 |
|
15 |
15 |
$1K |
| 74174 |
|
15 |
15 |
$1K |
| A9270 |
Non-covered item or service |
107,502 |
57,311 |
$1K |
| 85730 |
|
9,032 |
8,239 |
$1K |
| 93970 |
|
12 |
12 |
$1K |
| 87186 |
|
1,568 |
1,512 |
$1K |
| 87077 |
|
1,630 |
1,568 |
$1K |
| 90734 |
|
121 |
121 |
$969.30 |
| 74022 |
|
843 |
826 |
$967.28 |
| 72170 |
|
1,037 |
1,020 |
$966.16 |
| J0185 |
Inj., aprepitant, 1 mg |
16 |
13 |
$962.00 |
| 80051 |
|
4,316 |
3,965 |
$942.78 |
| 85652 |
|
1,741 |
1,645 |
$900.87 |
| 71101 |
|
249 |
247 |
$895.74 |
| 84520 |
|
4,924 |
4,625 |
$855.38 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
65 |
63 |
$852.59 |
| 84702 |
|
2,580 |
2,410 |
$833.35 |
| 83615 |
|
633 |
593 |
$817.79 |
| 77080 |
|
14 |
14 |
$808.82 |
| 72050 |
|
39 |
39 |
$791.36 |
| 70498 |
|
130 |
128 |
$734.40 |
| 84403 |
|
136 |
133 |
$719.68 |
| 72040 |
|
53 |
53 |
$713.58 |
| 84100 |
|
7,022 |
5,994 |
$711.92 |
| 83690 |
|
10,877 |
10,186 |
$697.68 |
| 72128 |
|
38 |
38 |
$671.99 |
| 81003 |
|
10,948 |
10,548 |
$657.37 |
| 90744 |
|
122 |
122 |
$633.44 |
| 81001 |
|
15,745 |
14,963 |
$621.26 |
| 81025 |
|
18,309 |
17,238 |
$594.89 |
| 84481 |
|
185 |
181 |
$572.19 |
| 82550 |
|
1,886 |
1,737 |
$549.55 |
| 82652 |
|
185 |
179 |
$547.99 |
| 77065 |
Tomosynthesis, mammo |
15 |
15 |
$533.65 |
| 88304 |
|
519 |
488 |
$523.49 |
| 82150 |
|
4,910 |
4,634 |
$450.88 |
| 86235 |
|
12 |
12 |
$430.79 |
| 86431 |
|
317 |
316 |
$404.45 |
| 97165 |
|
13 |
13 |
$376.73 |
| 87634 |
|
534 |
526 |
$368.21 |
| J1756 |
Iron sucrose injection |
1,325 |
458 |
$336.19 |
| J7030 |
Normal saline solution infus |
31,346 |
25,966 |
$329.08 |
| 72052 |
|
12 |
12 |
$326.00 |
| 99214 |
|
60 |
52 |
$309.62 |
| 82077 |
|
3,247 |
3,094 |
$305.96 |
| 90656 |
|
15 |
15 |
$285.96 |
| 82247 |
|
4,108 |
3,785 |
$257.03 |
| 84550 |
|
269 |
259 |
$256.49 |
| 86592 |
|
138 |
138 |
$222.37 |
| 90658 |
|
16 |
16 |
$220.27 |
| 87651 |
|
1,395 |
1,385 |
$196.31 |
| 84165 |
|
107 |
104 |
$192.22 |
| 86200 |
|
64 |
64 |
$189.04 |
| J7620 |
Albuterol ipratrop non-comp |
1,219 |
859 |
$184.58 |
| J7050 |
Normal saline solution infus |
9,628 |
5,365 |
$183.73 |
| 73560 |
|
44 |
38 |
$180.08 |
| 73700 |
|
13 |
12 |
$178.92 |
| 87040 |
|
3,575 |
2,110 |
$170.94 |
| 99406 |
|
12 |
12 |
$164.75 |
| 97535 |
|
34 |
24 |
$164.28 |
| 84075 |
|
3,592 |
3,305 |
$155.21 |
| 85379 |
|
2,475 |
2,422 |
$150.32 |
| 70360 |
|
12 |
12 |
$137.07 |
| Q9969 |
Non-heu tc-99m add-on/dose |
38 |
37 |
$134.46 |
| 83605 |
|
5,422 |
4,728 |
$124.14 |
| 90715 |
|
2,853 |
2,844 |
$105.68 |
| 84484 |
|
11,660 |
9,025 |
$101.99 |
| 87081 |
|
1,263 |
1,252 |
$94.70 |
| 83930 |
|
524 |
506 |
$91.13 |
| 83001 |
|
12 |
12 |
$83.96 |
| 83002 |
|
12 |
12 |
$83.68 |
| 87880 |
|
1,365 |
1,354 |
$78.95 |
| 85046 |
|
40 |
38 |
$73.50 |
| 80076 |
|
52 |
51 |
$72.65 |
| 83010 |
|
12 |
12 |
$70.32 |
| 86706 |
|
26 |
26 |
$66.61 |
| 88175 |
|
15 |
15 |
$61.58 |
| 76817 |
|
166 |
164 |
$61.17 |
| 73140 |
|
76 |
75 |
$58.82 |
| 82248 |
|
89 |
84 |
$57.31 |
| 85018 |
|
791 |
643 |
$57.28 |
| J7040 |
Normal saline solution infus |
2,764 |
1,880 |
$56.28 |
| 86850 |
|
934 |
907 |
$54.33 |
| 86376 |
|
12 |
12 |
$50.23 |
| 82803 |
|
309 |
283 |
$49.46 |
| 87340 |
|
25 |
25 |
$47.06 |
| 87205 |
|
150 |
139 |
$44.60 |
| 80179 |
|
810 |
792 |
$40.22 |
| 80143 |
|
847 |
823 |
$40.22 |
| 82040 |
|
143 |
143 |
$38.31 |
| J2270 |
Morphine sulfate injection |
6,939 |
5,407 |
$37.82 |
| 83721 |
|
27 |
27 |
$30.79 |
| 99213 |
|
167 |
123 |
$29.10 |
| 96376 |
|
5,806 |
3,620 |
$27.95 |
| 82010 |
|
310 |
276 |
$26.74 |
| 86901 |
|
2,002 |
1,892 |
$25.77 |
| J3010 |
Fentanyl citrate injection |
6,928 |
6,195 |
$24.75 |
| 84703 |
|
146 |
145 |
$24.67 |
| 82375 |
|
182 |
165 |
$23.37 |
| 80305 |
|
70 |
65 |
$20.55 |
| 84436 |
|
12 |
12 |
$20.29 |
| 87147 |
|
152 |
151 |
$20.24 |
| 83050 |
|
184 |
165 |
$15.56 |
| J1885 |
Ketorolac tromethamine inj |
31,591 |
28,670 |
$14.05 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
447 |
411 |
$13.13 |
| J2704 |
Inj, propofol, 10 mg |
8,083 |
7,802 |
$12.00 |
| 82553 |
|
193 |
190 |
$11.28 |
| 82044 |
|
12 |
12 |
$10.92 |
| J1100 |
Dexamethasone sodium phos |
13,627 |
11,590 |
$10.05 |
| J0736 |
Inj, clindamycin phosp 300mg |
14 |
12 |
$9.97 |
| J2060 |
Lorazepam injection |
3,183 |
2,704 |
$8.95 |
| J8540 |
Oral dexamethasone |
7,795 |
4,985 |
$8.50 |
| 81015 |
|
16 |
16 |
$8.39 |
| J0780 |
Prochlorperazine injection |
1,845 |
1,677 |
$8.17 |
| J1010 |
Inj, methylpred acetate 1 mg |
103 |
100 |
$7.01 |
| J2405 |
Ondansetron hcl injection |
19,041 |
15,658 |
$5.77 |
| J2795 |
Ropivacaine hcl injection |
1,523 |
1,442 |
$4.49 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,511 |
1,420 |
$4.42 |
| 84132 |
|
145 |
139 |
$3.94 |
| 82310 |
|
13 |
13 |
$3.24 |
| J3301 |
Triamcinolone acet inj nos |
711 |
688 |
$2.78 |
| J1200 |
Diphenhydramine hcl injectio |
6,144 |
4,930 |
$2.65 |
| G1004 |
Cdsm ndsc |
225 |
219 |
$0.02 |
| J7120 |
Ringers lactate infusion |
1,908 |
1,544 |
$0.01 |
| J1170 |
Hydromorphone injection |
6,517 |
4,725 |
$0.01 |
| J0690 |
Cefazolin sodium injection |
3,968 |
3,614 |
$0.01 |
| 87210 |
|
907 |
897 |
$0.00 |
| 99152 |
|
568 |
563 |
$0.00 |
| J2930 |
Methylprednisolone injection |
2,659 |
2,342 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
1,330 |
967 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
1,204 |
1,133 |
$0.00 |
| 90633 |
|
163 |
163 |
$0.00 |
| S5000 |
Prescription drug, generic |
1,248 |
948 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
1,160 |
594 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
82 |
82 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
2,499 |
1,158 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
39 |
38 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
556 |
403 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
347 |
335 |
$0.00 |
| J1953 |
Levetiracetam injection |
32 |
24 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
96 |
93 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
317 |
268 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
66 |
49 |
$0.00 |
| 90714 |
|
152 |
150 |
$0.00 |
| J3486 |
Ziprasidone mesylate |
70 |
65 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
187 |
178 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
181 |
132 |
$0.00 |
| Q9950 |
Inj sulf hexa lipid microsph |
16 |
14 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
14 |
12 |
$0.00 |
| 82374 |
|
25 |
25 |
$0.00 |
| G8978 |
Mobility current status |
12 |
12 |
$0.00 |
| A4550 |
Surgical trays |
32 |
26 |
$0.00 |
| 90710 |
|
47 |
47 |
$0.00 |
| A9552 |
F18 fdg |
12 |
12 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
12 |
12 |
$0.00 |
| 84295 |
|
38 |
38 |
$0.00 |
| 64495 |
|
26 |
25 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
27 |
26 |
$0.00 |
| J3250 |
Trimethobenzamide hcl inj |
19 |
14 |
$0.00 |
| G8979 |
Mobility goal status |
29 |
25 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
5,058 |
3,109 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
6,514 |
6,116 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
1,090 |
994 |
$0.00 |
| G0283 |
Elec stim other than wound |
1,031 |
324 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
56 |
56 |
$0.00 |
| 97010 |
|
2,978 |
937 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
5,081 |
4,467 |
$0.00 |
| J2360 |
Orphenadrine injection |
956 |
916 |
$0.00 |
| 73552 |
|
13 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
299 |
294 |
$0.00 |
| 94760 |
|
304 |
234 |
$0.00 |
| J2001 |
Lidocaine injection |
2,829 |
2,548 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
2,344 |
2,053 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
366 |
358 |
$0.00 |
| J1630 |
Haloperidol injection |
608 |
534 |
$0.00 |
| 90680 |
|
223 |
221 |
$0.00 |
| 88342 |
|
35 |
33 |
$0.00 |
| 90698 |
|
396 |
396 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
110 |
88 |
$0.00 |
| J3480 |
Inj potassium chloride |
261 |
158 |
$0.00 |
| 82962 |
|
41 |
39 |
$0.00 |
| J3360 |
Diazepam injection |
30 |
27 |
$0.00 |
| J3420 |
Vitamin b12 injection |
916 |
747 |
$0.00 |
| C1889 |
Implant/insert device, noc |
51 |
51 |
$0.00 |
| J1815 |
Insulin injection |
234 |
112 |
$0.00 |
| 29130 |
|
13 |
12 |
$0.00 |
| 96368 |
|
150 |
107 |
$0.00 |
| J7060 |
5% dextrose/water |
80 |
57 |
$0.00 |
| C1769 |
Guide wire |
138 |
133 |
$0.00 |
| 87801 |
|
101 |
99 |
$0.00 |
| 64494 |
|
27 |
26 |
$0.00 |
| 82435 |
|
26 |
26 |
$0.00 |
| 76870 |
|
15 |
15 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
179 |
141 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
44 |
43 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
111 |
67 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
63 |
56 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
17 |
15 |
$0.00 |
| 72126 |
|
16 |
16 |
$0.00 |
| 90696 |
|
27 |
27 |
$0.00 |
| 76377 |
|
67 |
53 |
$0.00 |
| 96110 |
|
29 |
29 |
$0.00 |
| Q0162 |
Ondansetron oral |
44 |
43 |
$0.00 |
| J9045 |
Carboplatin injection |
16 |
13 |
$0.00 |
| J3410 |
Hydroxyzine hcl injection |
50 |
43 |
$0.00 |
| 90716 |
|
26 |
26 |
$0.00 |
| J2920 |
Methylprednisolone injection |
57 |
39 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 99024 |
|
15 |
14 |
$0.00 |