| Code | Description | Claims | Beneficiaries | Total Paid |
| J9271 |
Inj pembrolizumab |
1,165 |
920 |
$5.02M |
| 96361 |
|
14,291 |
11,919 |
$4.31M |
| 99283 |
|
29,601 |
28,123 |
$3.24M |
| 99284 |
|
27,909 |
26,071 |
$2.53M |
| 99285 |
|
25,690 |
23,540 |
$2.18M |
| 59025 |
|
12,122 |
4,333 |
$1.96M |
| 74177 |
|
9,503 |
9,195 |
$1.51M |
| 96365 |
|
12,029 |
9,257 |
$1.48M |
| 96413 |
|
11,042 |
6,584 |
$1.25M |
| 96366 |
|
4,242 |
3,177 |
$911K |
| 70450 |
|
7,117 |
6,755 |
$868K |
| 96415 |
|
2,834 |
2,086 |
$685K |
| 74176 |
|
3,534 |
3,426 |
$578K |
| 96360 |
|
5,186 |
4,203 |
$570K |
| G0463 |
Hospital outpt clinic visit |
11,372 |
8,099 |
$565K |
| 78815 |
|
1,106 |
1,089 |
$503K |
| 97530 |
|
11,289 |
4,950 |
$482K |
| 77412 |
|
997 |
107 |
$480K |
| 76830 |
|
4,816 |
4,757 |
$418K |
| 76705 |
|
4,552 |
4,361 |
$417K |
| 99282 |
|
5,079 |
4,915 |
$405K |
| 80053 |
|
75,948 |
61,190 |
$395K |
| 80307 |
|
13,765 |
12,018 |
$359K |
| 71275 |
|
2,384 |
2,318 |
$355K |
| 92507 |
|
7,905 |
3,371 |
$353K |
| J2505 |
Injection, pegfilgrastim 6mg |
203 |
150 |
$296K |
| 93306 |
|
1,257 |
1,248 |
$276K |
| 99281 |
|
1,877 |
1,807 |
$237K |
| 96523 |
|
4,463 |
2,527 |
$233K |
| 87631 |
|
7,225 |
6,801 |
$230K |
| 76856 |
|
5,495 |
5,423 |
$229K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,155 |
3,026 |
$224K |
| 76816 |
|
3,028 |
2,912 |
$206K |
| 45385 |
|
460 |
455 |
$202K |
| 76805 |
|
2,810 |
2,793 |
$198K |
| 12001 |
|
884 |
876 |
$197K |
| J9355 |
Inj trastuzumab excl biosimi |
211 |
102 |
$191K |
| 43239 |
|
516 |
510 |
$182K |
| 71260 |
|
3,048 |
2,994 |
$176K |
| 76801 |
|
2,775 |
2,531 |
$169K |
| 93971 |
|
1,788 |
1,731 |
$161K |
| 77336 |
|
2,741 |
1,194 |
$150K |
| 71046 |
|
17,457 |
16,624 |
$139K |
| 85025 |
|
87,876 |
68,798 |
$138K |
| 77067 |
|
3,053 |
3,042 |
$128K |
| J0185 |
Inj., aprepitant, 1 mg |
1,374 |
942 |
$122K |
| 99291 |
|
2,556 |
2,469 |
$122K |
| 76642 |
|
1,572 |
1,456 |
$122K |
| 36415 |
|
56,285 |
44,026 |
$119K |
| J0897 |
Denosumab injection |
366 |
331 |
$107K |
| 84484 |
|
20,376 |
14,137 |
$106K |
| 78452 |
|
263 |
261 |
$104K |
| 87591 |
|
6,267 |
6,121 |
$98K |
| 97110 |
|
4,559 |
2,023 |
$89K |
| 93017 |
|
735 |
724 |
$89K |
| 76770 |
|
954 |
940 |
$88K |
| 71250 |
|
1,908 |
1,877 |
$86K |
| 72148 |
|
564 |
556 |
$83K |
| 45380 |
|
273 |
270 |
$77K |
| 74018 |
|
2,684 |
2,582 |
$72K |
| 97535 |
|
2,970 |
1,878 |
$71K |
| 76700 |
|
696 |
693 |
$71K |
| 77334 |
|
486 |
405 |
$57K |
| 76815 |
|
930 |
849 |
$55K |
| G0378 |
Hospital observation per hr |
14,915 |
4,164 |
$55K |
| 12002 |
|
262 |
257 |
$53K |
| 84443 |
|
10,235 |
9,527 |
$53K |
| 10061 |
|
256 |
250 |
$52K |
| 73610 |
|
3,286 |
3,106 |
$52K |
| 83605 |
|
7,799 |
6,530 |
$50K |
| 80048 |
|
9,656 |
7,449 |
$48K |
| 94640 |
|
6,981 |
4,449 |
$47K |
| 87400 |
|
3,250 |
3,166 |
$46K |
| 73630 |
|
3,168 |
2,955 |
$46K |
| 73130 |
|
2,958 |
2,711 |
$42K |
| 73110 |
|
2,292 |
2,128 |
$41K |
| 87040 |
|
5,884 |
3,085 |
$41K |
| 72100 |
|
2,278 |
2,244 |
$41K |
| J1756 |
Iron sucrose injection |
1,734 |
844 |
$40K |
| 73030 |
|
2,910 |
2,692 |
$40K |
| 93005 |
|
24,163 |
21,492 |
$39K |
| 73562 |
|
2,305 |
2,242 |
$39K |
| 76536 |
|
419 |
415 |
$39K |
| 70496 |
|
363 |
351 |
$38K |
| 90715 |
|
2,196 |
2,177 |
$38K |
| J1453 |
Fosaprepitant injection |
313 |
199 |
$38K |
| 70498 |
|
543 |
525 |
$38K |
| 36591 |
|
2,656 |
2,199 |
$37K |
| 76817 |
|
1,115 |
1,019 |
$35K |
| 86780 |
|
2,674 |
2,641 |
$35K |
| 97162 |
|
1,161 |
1,109 |
$34K |
| 96372 |
|
12,724 |
9,416 |
$33K |
| 71271 |
|
417 |
415 |
$33K |
| 12011 |
|
120 |
119 |
$31K |
| 70551 |
|
163 |
161 |
$30K |
| 87491 |
|
6,267 |
6,121 |
$30K |
| J9035 |
Bevacizumab injection |
26 |
12 |
$30K |
| 99213 |
|
478 |
473 |
$29K |
| 84702 |
|
4,269 |
3,551 |
$29K |
| 77290 |
|
115 |
103 |
$29K |
| 84145 |
|
3,110 |
2,923 |
$28K |
| 72125 |
|
2,434 |
2,360 |
$27K |
| 83880 |
|
5,543 |
5,103 |
$27K |
| 96367 |
|
2,521 |
1,862 |
$26K |
| 97112 |
|
963 |
384 |
$26K |
| 87661 |
|
3,116 |
3,084 |
$26K |
| 96375 |
|
20,518 |
16,503 |
$25K |
| 80050 |
|
3,200 |
2,997 |
$25K |
| 73140 |
|
1,342 |
1,295 |
$25K |
| 97166 |
|
740 |
711 |
$24K |
| 87086 |
|
8,844 |
8,335 |
$24K |
| 73502 |
|
1,756 |
1,658 |
$24K |
| 82728 |
|
4,414 |
4,155 |
$24K |
| 96374 |
|
21,701 |
19,441 |
$23K |
| 85379 |
|
3,751 |
3,639 |
$22K |
| 77063 |
|
1,551 |
1,547 |
$22K |
| 94770 |
|
265 |
234 |
$22K |
| C8929 |
Tte w or wo fol wcon,doppler |
113 |
111 |
$22K |
| 76882 |
|
272 |
249 |
$22K |
| 70553 |
|
116 |
114 |
$21K |
| 86803 |
|
2,913 |
2,884 |
$21K |
| 10060 |
|
93 |
90 |
$21K |
| 87653 |
|
1,308 |
1,300 |
$21K |
| 80061 |
|
2,984 |
2,927 |
$20K |
| 97140 |
|
1,141 |
468 |
$20K |
| 70491 |
|
285 |
278 |
$20K |
| 76870 |
|
198 |
191 |
$18K |
| 86900 |
|
6,322 |
5,592 |
$17K |
| 87389 |
|
2,908 |
2,885 |
$17K |
| 83036 |
|
3,923 |
3,866 |
$17K |
| 86850 |
|
5,916 |
5,627 |
$17K |
| 84439 |
|
3,366 |
3,141 |
$16K |
| 77300 |
|
234 |
220 |
$16K |
| 77066 |
Tomosynthesis, mammo |
590 |
588 |
$16K |
| 72040 |
|
1,101 |
1,091 |
$16K |
| 70486 |
|
407 |
393 |
$16K |
| 87420 |
|
1,065 |
1,052 |
$16K |
| 82607 |
|
2,134 |
2,033 |
$15K |
| 58558 |
|
15 |
14 |
$15K |
| 87210 |
|
4,275 |
4,166 |
$15K |
| 85055 |
|
3,012 |
2,449 |
$14K |
| 85027 |
|
6,183 |
5,285 |
$14K |
| 37799 |
|
217 |
200 |
$13K |
| P9016 |
Rbc leukocytes reduced |
30 |
28 |
$13K |
| 76819 |
|
260 |
162 |
$13K |
| 87070 |
|
4,555 |
4,375 |
$13K |
| 84466 |
|
3,802 |
3,625 |
$13K |
| 93970 |
|
126 |
123 |
$11K |
| 99195 |
|
241 |
200 |
$11K |
| 87340 |
|
3,367 |
3,321 |
$11K |
| 83735 |
|
9,070 |
6,321 |
$11K |
| 73090 |
|
898 |
830 |
$11K |
| 83540 |
|
4,137 |
3,942 |
$11K |
| 82731 |
|
601 |
550 |
$10K |
| 73590 |
|
1,068 |
973 |
$10K |
| 73080 |
|
864 |
836 |
$10K |
| 82306 |
|
1,371 |
1,340 |
$10K |
| 86140 |
|
3,860 |
3,449 |
$9K |
| 82378 |
|
1,562 |
1,284 |
$9K |
| 86901 |
|
6,313 |
5,597 |
$9K |
| 72110 |
|
294 |
291 |
$9K |
| 82950 |
|
2,413 |
1,629 |
$8K |
| G0279 |
Tomosynthesis, mammo |
700 |
693 |
$8K |
| 73560 |
|
684 |
657 |
$8K |
| 85652 |
|
3,380 |
3,065 |
$7K |
| 87205 |
|
4,749 |
4,507 |
$7K |
| 71045 |
|
8,225 |
7,597 |
$7K |
| 70470 |
|
78 |
76 |
$7K |
| 86762 |
|
2,077 |
2,049 |
$7K |
| G0297 |
Ldct for lung ca screen |
62 |
61 |
$7K |
| 72141 |
|
43 |
43 |
$7K |
| J1447 |
Inj tbo filgrastim 1 microg |
46 |
12 |
$6K |
| 82962 |
|
16,661 |
7,763 |
$6K |
| J9217 |
Leuprolide acetate suspnsion |
29 |
26 |
$6K |
| 73564 |
|
103 |
103 |
$6K |
| 96368 |
|
1,446 |
891 |
$6K |
| 96376 |
|
4,716 |
4,171 |
$6K |
| 96402 |
|
725 |
593 |
$5K |
| 87186 |
|
3,751 |
3,607 |
$5K |
| 81001 |
|
26,821 |
24,438 |
$5K |
| 87640 |
|
425 |
412 |
$5K |
| 74174 |
|
25 |
24 |
$5K |
| 97116 |
|
352 |
207 |
$5K |
| 36430 |
|
45 |
42 |
$5K |
| 83690 |
|
13,574 |
12,506 |
$5K |
| 84112 |
|
553 |
504 |
$5K |
| 20610 |
|
29 |
28 |
$5K |
| 99292 |
|
233 |
231 |
$5K |
| 72072 |
|
238 |
237 |
$5K |
| 82746 |
|
1,262 |
1,231 |
$5K |
| 83615 |
|
3,014 |
2,481 |
$5K |
| 64483 |
|
13 |
13 |
$4K |
| 93010 |
|
902 |
859 |
$4K |
| 85610 |
|
11,181 |
7,977 |
$4K |
| 82105 |
|
378 |
363 |
$4K |
| 86300 |
|
333 |
287 |
$4K |
| 87081 |
|
1,593 |
1,576 |
$4K |
| 82570 |
|
1,427 |
1,248 |
$4K |
| 82784 |
|
472 |
347 |
$3K |
| 92523 |
|
27 |
27 |
$3K |
| 77065 |
Tomosynthesis, mammo |
124 |
121 |
$3K |
| 94726 |
|
83 |
83 |
$3K |
| 87077 |
|
3,217 |
3,030 |
$3K |
| 84403 |
|
224 |
218 |
$3K |
| 84156 |
|
1,208 |
903 |
$3K |
| 29125 |
|
12 |
12 |
$3K |
| 87176 |
|
882 |
823 |
$3K |
| 83883 |
|
403 |
308 |
$3K |
| 87641 |
|
427 |
412 |
$3K |
| 83001 |
|
167 |
167 |
$2K |
| 84100 |
|
2,326 |
1,732 |
$2K |
| 84165 |
|
482 |
431 |
$2K |
| 88305 |
|
2,099 |
2,035 |
$2K |
| 82565 |
|
1,004 |
970 |
$2K |
| 97161 |
|
66 |
66 |
$2K |
| J3489 |
Zoledronic acid 1mg |
85 |
75 |
$2K |
| 81025 |
|
12,420 |
11,692 |
$2K |
| 82247 |
|
240 |
180 |
$2K |
| 87635 |
|
124 |
118 |
$2K |
| 77080 |
|
36 |
36 |
$2K |
| 82951 |
|
218 |
218 |
$2K |
| J3490 |
Drugs unclassified injection |
1,299 |
1,174 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
14,869 |
13,280 |
$2K |
| 94729 |
|
86 |
86 |
$2K |
| 90471 |
|
2,582 |
2,431 |
$2K |
| 86304 |
|
197 |
172 |
$2K |
| J2405 |
Ondansetron hcl injection |
18,152 |
14,245 |
$2K |
| 87633 |
|
161 |
157 |
$2K |
| 36592 |
|
478 |
362 |
$2K |
| J2997 |
Alteplase recombinant |
48 |
38 |
$2K |
| 86706 |
|
815 |
796 |
$2K |
| 87880 |
|
2,828 |
2,782 |
$2K |
| 87486 |
|
93 |
92 |
$1K |
| 72131 |
|
28 |
28 |
$1K |
| 97750 |
|
69 |
65 |
$1K |
| 92558 |
|
12 |
12 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16,014 |
15,172 |
$1K |
| 86704 |
|
770 |
747 |
$1K |
| 82805 |
|
4,398 |
3,770 |
$1K |
| 84146 |
|
94 |
92 |
$1K |
| J2001 |
Lidocaine injection |
9,069 |
7,555 |
$1K |
| 82550 |
|
1,266 |
1,062 |
$1K |
| 74022 |
|
247 |
246 |
$1K |
| 74019 |
|
119 |
118 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
80 |
80 |
$1K |
| 87147 |
|
1,527 |
1,470 |
$1K |
| 81003 |
|
2,853 |
2,396 |
$1K |
| 82248 |
|
285 |
236 |
$960.83 |
| 87798 |
|
110 |
107 |
$948.51 |
| 84703 |
|
2,970 |
2,885 |
$944.05 |
| 85730 |
|
1,486 |
1,409 |
$911.33 |
| 94060 |
|
28 |
27 |
$906.71 |
| J1100 |
Dexamethasone sodium phos |
7,789 |
7,092 |
$899.21 |
| 84155 |
|
520 |
469 |
$874.29 |
| A9585 |
Gadobutrol injection |
1,254 |
1,222 |
$849.03 |
| J7030 |
Normal saline solution infus |
15,520 |
12,304 |
$824.90 |
| 80164 |
|
81 |
70 |
$814.32 |
| 73700 |
|
13 |
13 |
$780.16 |
| 87581 |
|
93 |
92 |
$757.90 |
| 73660 |
|
28 |
27 |
$756.62 |
| 87636 |
|
3,341 |
3,164 |
$747.18 |
| J2704 |
Inj, propofol, 10 mg |
6,591 |
6,334 |
$735.24 |
| 84153 |
|
204 |
190 |
$719.48 |
| 84550 |
|
607 |
479 |
$696.25 |
| 92522 |
|
13 |
13 |
$694.47 |
| 86592 |
|
122 |
121 |
$668.44 |
| 87109 |
|
47 |
46 |
$644.24 |
| 93225 |
|
15 |
15 |
$643.44 |
| A9270 |
Non-covered item or service |
18,606 |
3,360 |
$640.86 |
| J3010 |
Fentanyl citrate injection |
11,009 |
8,354 |
$625.13 |
| 87088 |
|
232 |
220 |
$614.74 |
| 97163 |
|
28 |
28 |
$555.36 |
| J1200 |
Diphenhydramine hcl injectio |
6,337 |
4,793 |
$552.84 |
| 86141 |
|
389 |
381 |
$532.21 |
| 99212 |
|
14 |
14 |
$529.76 |
| J2250 |
Inj midazolam hydrochloride |
6,007 |
5,706 |
$516.27 |
| 93016 |
|
50 |
50 |
$492.59 |
| J2310 |
Inj naloxone hydrochloride |
17 |
13 |
$461.36 |
| J0690 |
Cefazolin sodium injection |
3,973 |
3,250 |
$455.95 |
| 83970 |
|
18 |
16 |
$448.88 |
| J2270 |
Morphine sulfate injection |
6,164 |
4,657 |
$431.35 |
| 90686 |
|
50 |
50 |
$422.44 |
| 88307 |
|
28 |
28 |
$393.13 |
| 80076 |
|
68 |
63 |
$392.77 |
| 94010 |
|
12 |
12 |
$387.81 |
| 72050 |
|
12 |
12 |
$385.55 |
| 86923 |
|
26 |
24 |
$377.24 |
| 96417 |
|
3,140 |
2,026 |
$366.89 |
| J0696 |
Ceftriaxone sodium injection |
5,368 |
3,967 |
$360.29 |
| J1170 |
Hydromorphone injection |
4,907 |
3,519 |
$358.84 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
326 |
321 |
$343.56 |
| 93226 |
|
15 |
15 |
$339.57 |
| 93018 |
|
50 |
50 |
$322.69 |
| 83516 |
|
45 |
24 |
$307.16 |
| 80178 |
|
31 |
24 |
$286.76 |
| J2765 |
Metoclopramide hcl injection |
2,870 |
2,552 |
$285.44 |
| J8540 |
Oral dexamethasone |
6,262 |
3,275 |
$264.46 |
| C9113 |
Inj pantoprazole sodium, via |
669 |
516 |
$258.34 |
| 36593 |
|
19 |
14 |
$253.28 |
| 82627 |
|
12 |
12 |
$250.11 |
| J1642 |
Inj heparin sodium per 10 u |
15,458 |
8,222 |
$231.14 |
| J7120 |
Ringers lactate infusion |
6,599 |
5,885 |
$223.41 |
| J1439 |
Inj ferric carboxymaltos 1mg |
78 |
58 |
$213.33 |
| 36600 |
|
3,130 |
2,750 |
$209.73 |
| 87521 |
Neg quan hep c or qual rna |
12 |
12 |
$203.24 |
| 85014 |
|
1,075 |
921 |
$201.49 |
| 86708 |
|
55 |
54 |
$191.10 |
| J0330 |
Succinycholine chloride inj |
501 |
492 |
$179.38 |
| J2930 |
Methylprednisolone injection |
1,634 |
1,310 |
$165.41 |
| 96521 |
|
189 |
112 |
$146.13 |
| Q9957 |
Inj perflutren lip micros,ml |
154 |
152 |
$144.82 |
| 86308 |
|
66 |
63 |
$143.71 |
| 82952 |
|
96 |
96 |
$141.43 |
| J2785 |
Regadenoson injection |
166 |
164 |
$139.06 |
| J7050 |
Normal saline solution infus |
24,262 |
7,897 |
$135.34 |
| J0780 |
Prochlorperazine injection |
673 |
636 |
$132.83 |
| 83002 |
|
12 |
12 |
$132.39 |
| 82140 |
|
66 |
54 |
$125.13 |
| 96411 |
|
1,262 |
850 |
$123.26 |
| 71101 |
|
27 |
27 |
$120.61 |
| A9500 |
Tc99m sestamibi |
428 |
321 |
$104.12 |
| 87075 |
|
299 |
279 |
$99.61 |
| J1630 |
Haloperidol injection |
954 |
787 |
$94.15 |
| 73552 |
|
13 |
12 |
$86.99 |
| 85018 |
|
1,062 |
911 |
$78.87 |
| J2060 |
Lorazepam injection |
3,301 |
2,666 |
$78.71 |
| 86003 |
|
13 |
13 |
$73.32 |
| J9045 |
Carboplatin injection |
1,038 |
663 |
$72.96 |
| A9552 |
F18 fdg |
1,229 |
1,212 |
$66.50 |
| J1815 |
Insulin injection |
3,362 |
1,465 |
$61.33 |
| 81015 |
|
224 |
218 |
$56.19 |
| 88304 |
|
506 |
503 |
$55.84 |
| 82150 |
|
13 |
13 |
$55.33 |
| 87493 |
|
13 |
13 |
$51.15 |
| 82010 |
|
269 |
242 |
$47.36 |
| 83550 |
|
12 |
12 |
$47.23 |
| J7040 |
Normal saline solution infus |
3,707 |
2,783 |
$45.90 |
| 80143 |
|
66 |
62 |
$34.34 |
| 85046 |
|
12 |
12 |
$32.46 |
| J1644 |
Inj heparin sodium per 1000u |
4,572 |
1,510 |
$28.47 |
| 82803 |
|
290 |
246 |
$26.36 |
| J3370 |
Vancomycin hcl injection |
655 |
399 |
$25.66 |
| 80179 |
|
65 |
61 |
$17.11 |
| Q0162 |
Ondansetron oral |
5,271 |
2,955 |
$16.66 |
| J3475 |
Inj magnesium sulfate |
3,156 |
1,968 |
$12.82 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,847 |
1,393 |
$10.78 |
| 94761 |
|
4,989 |
2,716 |
$9.81 |
| 82270 |
|
41 |
39 |
$7.76 |
| J2550 |
Promethazine hcl injection |
424 |
379 |
$7.00 |
| J2710 |
Neostigmine methylslfte inj |
143 |
141 |
$3.10 |
| J2795 |
Ropivacaine hcl injection |
266 |
175 |
$2.78 |
| J3480 |
Inj potassium chloride |
2,192 |
1,241 |
$2.53 |
| J1940 |
Furosemide injection |
218 |
148 |
$0.00 |
| J7060 |
5% dextrose/water |
744 |
226 |
$0.00 |
| G8987 |
Self care current status |
82 |
78 |
$0.00 |
| J3420 |
Vitamin b12 injection |
384 |
314 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
1,793 |
1,719 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
255 |
249 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
406 |
174 |
$0.00 |
| 72170 |
|
13 |
13 |
$0.00 |
| J9267 |
Paclitaxel injection |
629 |
280 |
$0.00 |
| J7999 |
Compounded drug, noc |
152 |
145 |
$0.00 |
| J1790 |
Droperidol injection |
111 |
101 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
27 |
27 |
$0.00 |
| 82330 |
|
63 |
63 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
53 |
41 |
$0.00 |
| C9463 |
Injection, aprepitant |
36 |
25 |
$0.00 |
| 82077 |
|
87 |
84 |
$0.00 |
| G8988 |
Self care goal status |
83 |
79 |
$0.00 |
| 88720 |
|
12 |
12 |
$0.00 |
| C1781 |
Mesh (implantable) |
13 |
13 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
34 |
15 |
$0.00 |
| G1004 |
Cdsm ndsc |
13,831 |
12,605 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
84 |
83 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
129 |
113 |
$0.00 |
| J9190 |
Fluorouracil injection |
274 |
100 |
$0.00 |
| G8979 |
Mobility goal status |
278 |
254 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
318 |
260 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
622 |
614 |
$0.00 |
| G8978 |
Mobility current status |
275 |
253 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
2,439 |
642 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
68 |
59 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
78 |
65 |
$0.00 |
| 87150 |
|
28 |
12 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
119 |
36 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
69 |
69 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
38 |
38 |
$0.00 |
| 0202U |
|
13 |
13 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
15 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
44 |
37 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
32 |
32 |
$0.00 |