| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
122,158 |
111,950 |
$7.87M |
| 99213 |
|
97,900 |
90,895 |
$4.52M |
| 99285 |
|
29,643 |
27,431 |
$3.31M |
| S0317 |
Disease mgmt per diem |
1,319 |
1,245 |
$2.38M |
| 99215 |
Prolong outpt/office vis |
23,525 |
21,361 |
$2.13M |
| 99204 |
|
19,089 |
18,476 |
$1.99M |
| 88305 |
|
41,801 |
36,155 |
$1.84M |
| 99284 |
|
21,779 |
20,312 |
$1.80M |
| 99233 |
Prolong inpt eval add15 m |
24,543 |
8,562 |
$1.47M |
| 99203 |
|
20,459 |
19,826 |
$1.39M |
| 99291 |
|
10,562 |
4,030 |
$1.31M |
| 74177 |
|
23,132 |
21,199 |
$1.25M |
| 99283 |
|
21,817 |
20,929 |
$1.15M |
| 99205 |
Prolong outpt/office vis |
6,705 |
6,513 |
$963K |
| 70553 |
|
12,539 |
11,766 |
$908K |
| H2022 |
Com wrap-around sv, per diem |
27 |
27 |
$889K |
| G9006 |
Mccd, home monitoring |
851 |
827 |
$879K |
| 92014 |
|
14,710 |
14,233 |
$870K |
| 99232 |
|
17,905 |
7,886 |
$760K |
| 93306 |
|
18,471 |
16,925 |
$749K |
| 76816 |
|
11,172 |
10,054 |
$698K |
| 92004 |
|
7,821 |
7,674 |
$633K |
| 93010 |
|
124,013 |
91,909 |
$623K |
| 92060 |
|
19,919 |
18,784 |
$615K |
| 99472 |
|
2,062 |
424 |
$592K |
| 70450 |
|
23,754 |
19,957 |
$582K |
| 81229 |
|
1,713 |
1,650 |
$562K |
| 71045 |
|
92,539 |
56,999 |
$469K |
| 70551 |
|
8,878 |
7,938 |
$425K |
| 93303 |
|
5,792 |
5,494 |
$385K |
| 99480 |
|
4,528 |
1,300 |
$380K |
| 92012 |
|
8,826 |
7,981 |
$335K |
| 88307 |
|
4,173 |
3,904 |
$313K |
| 76811 |
|
2,922 |
2,796 |
$310K |
| 67028 |
|
5,709 |
4,972 |
$282K |
| 71260 |
|
7,765 |
7,075 |
$269K |
| 99469 |
|
875 |
230 |
$258K |
| 92134 |
|
16,420 |
15,140 |
$239K |
| 93970 |
|
11,434 |
8,199 |
$238K |
| 76770 |
|
8,876 |
8,557 |
$238K |
| 59025 |
|
9,058 |
5,636 |
$228K |
| 71046 |
|
34,301 |
31,928 |
$220K |
| 77014 |
|
7,139 |
3,278 |
$215K |
| G2211 |
Complex e/m visit add on |
16,067 |
15,131 |
$196K |
| 97803 |
|
2,280 |
2,184 |
$193K |
| 71275 |
|
3,479 |
3,195 |
$181K |
| 95810 |
|
361 |
358 |
$177K |
| 90791 |
|
1,612 |
1,478 |
$173K |
| 99231 |
|
7,121 |
2,635 |
$167K |
| 74018 |
|
29,499 |
19,670 |
$165K |
| 99223 |
Prolong inpt eval add15 m |
1,337 |
1,211 |
$149K |
| 99202 |
|
3,144 |
3,064 |
$148K |
| 90847 |
|
1,290 |
854 |
$144K |
| 99358 |
Prolong nursin fac eval 15m |
2,505 |
2,112 |
$140K |
| 72125 |
|
4,329 |
3,943 |
$140K |
| 71250 |
|
4,922 |
4,539 |
$139K |
| 97810 |
|
4,765 |
3,003 |
$132K |
| 17111 |
|
1,974 |
1,817 |
$131K |
| 76705 |
|
6,350 |
5,940 |
$125K |
| 99391 |
|
1,732 |
1,630 |
$124K |
| 17380 |
|
2,443 |
733 |
$121K |
| 92015 |
|
9,575 |
9,390 |
$121K |
| G0452 |
Molecular pathology interpr |
6,500 |
5,186 |
$120K |
| 95782 |
|
143 |
140 |
$115K |
| 88342 |
|
5,165 |
4,635 |
$112K |
| 93320 |
|
6,432 |
5,977 |
$111K |
| 76512 |
|
4,976 |
3,442 |
$110K |
| 90834 |
|
1,431 |
973 |
$109K |
| 99479 |
|
1,162 |
357 |
$103K |
| 90792 |
|
407 |
353 |
$93K |
| 88189 |
|
1,643 |
1,487 |
$92K |
| 77067 |
|
4,234 |
4,060 |
$90K |
| 31231 |
|
1,684 |
1,572 |
$89K |
| 93971 |
|
5,567 |
4,865 |
$77K |
| 98941 |
|
3,478 |
2,337 |
$76K |
| 90961 |
|
1,853 |
1,506 |
$76K |
| D7210 |
|
446 |
39 |
$75K |
| 78815 |
|
1,092 |
996 |
$68K |
| 76815 |
|
2,177 |
1,715 |
$68K |
| 76642 |
|
2,118 |
1,885 |
$67K |
| 95886 |
|
1,562 |
1,481 |
$65K |
| 92507 |
|
1,183 |
832 |
$64K |
| 88291 |
|
3,266 |
2,804 |
$59K |
| 43239 |
|
549 |
410 |
$58K |
| 99222 |
|
671 |
605 |
$57K |
| 93325 |
|
11,952 |
11,012 |
$56K |
| 90837 |
|
619 |
402 |
$56K |
| 99239 |
|
666 |
631 |
$54K |
| 72131 |
|
1,660 |
1,513 |
$51K |
| 95951 |
|
268 |
109 |
$51K |
| 99367 |
|
1,832 |
933 |
$47K |
| 72148 |
|
964 |
774 |
$46K |
| 69436 |
|
421 |
274 |
$46K |
| 95806 |
|
385 |
364 |
$46K |
| 96101 |
|
174 |
162 |
$46K |
| 95924 |
|
708 |
687 |
$44K |
| 95720 |
|
439 |
182 |
$44K |
| 99451 |
|
1,980 |
1,893 |
$44K |
| 99392 |
|
528 |
503 |
$43K |
| 73630 |
|
7,540 |
6,253 |
$43K |
| 70498 |
|
835 |
753 |
$43K |
| 99394 |
|
411 |
407 |
$42K |
| 73030 |
|
6,077 |
5,275 |
$41K |
| 92083 |
|
2,212 |
2,090 |
$41K |
| 72100 |
|
5,354 |
5,099 |
$40K |
| G9002 |
Mccd,maintenance rate |
24 |
24 |
$40K |
| 72128 |
|
1,232 |
1,123 |
$38K |
| 17311 |
|
212 |
188 |
$37K |
| 99212 |
|
1,295 |
1,128 |
$36K |
| D1120 |
|
874 |
791 |
$36K |
| 96158 |
|
699 |
457 |
$35K |
| 88312 |
|
1,895 |
998 |
$35K |
| 73610 |
|
5,715 |
5,063 |
$35K |
| 97110 |
|
672 |
524 |
$35K |
| 74230 |
|
1,744 |
1,701 |
$34K |
| 73560 |
|
5,882 |
4,523 |
$34K |
| 92133 |
|
2,266 |
2,155 |
$34K |
| 11042 |
|
1,232 |
811 |
$33K |
| 76856 |
|
1,428 |
1,394 |
$33K |
| 86985 |
|
3,449 |
578 |
$33K |
| 99238 |
|
567 |
544 |
$32K |
| 93248 |
|
2,029 |
1,944 |
$32K |
| 92504 |
|
4,755 |
4,421 |
$32K |
| 76830 |
|
1,262 |
1,232 |
$31K |
| 77063 |
|
2,481 |
2,397 |
$31K |
| 99393 |
|
329 |
323 |
$29K |
| 70496 |
|
555 |
492 |
$27K |
| 96131 |
|
284 |
248 |
$27K |
| 93975 |
|
549 |
511 |
$25K |
| 72040 |
|
3,481 |
3,233 |
$25K |
| 72141 |
|
494 |
344 |
$25K |
| 96130 |
|
332 |
289 |
$25K |
| 73130 |
|
3,732 |
3,089 |
$24K |
| 88112 |
|
1,338 |
1,226 |
$24K |
| 42820 |
|
90 |
89 |
$23K |
| 95923 |
|
713 |
692 |
$23K |
| 98940 |
|
1,684 |
1,137 |
$23K |
| 73562 |
|
3,399 |
2,819 |
$22K |
| 94010 |
|
3,878 |
3,559 |
$22K |
| D0140 |
|
507 |
413 |
$22K |
| 97802 |
|
220 |
214 |
$20K |
| 99221 |
|
371 |
325 |
$20K |
| 70486 |
|
621 |
561 |
$20K |
| 73502 |
|
3,166 |
2,781 |
$20K |
| 76825 |
|
197 |
182 |
$20K |
| 85390 |
|
1,585 |
1,223 |
$20K |
| 99217 |
|
443 |
406 |
$20K |
| D1206 |
|
1,035 |
929 |
$19K |
| 96156 |
|
288 |
271 |
$19K |
| 76801 |
|
284 |
259 |
$19K |
| 80053 |
|
21,482 |
11,854 |
$18K |
| 88141 |
|
884 |
854 |
$18K |
| 88341 |
|
559 |
340 |
$18K |
| 99354 |
|
230 |
229 |
$18K |
| 76700 |
|
663 |
623 |
$17K |
| 90833 |
|
742 |
681 |
$16K |
| D0150 |
|
143 |
120 |
$16K |
| 96137 |
|
180 |
158 |
$15K |
| 96040 |
|
626 |
617 |
$15K |
| 99417 |
Prolong home eval add 15m |
260 |
250 |
$15K |
| G0453 |
Cont intraop neuro monitor |
85 |
64 |
$15K |
| 93926 |
|
1,119 |
827 |
$15K |
| 73590 |
|
2,469 |
2,040 |
$14K |
| 82805 |
|
2,665 |
691 |
$14K |
| D0120 |
|
478 |
436 |
$14K |
| G2212 |
Prolong outpt/office vis |
276 |
254 |
$14K |
| 96150 |
|
129 |
127 |
$14K |
| 77066 |
Tomosynthesis, mammo |
522 |
506 |
$14K |
| 77080 |
|
2,866 |
2,667 |
$14K |
| 81228 |
|
105 |
96 |
$14K |
| 95939 |
|
202 |
182 |
$14K |
| 74183 |
|
252 |
231 |
$14K |
| 99282 |
|
380 |
375 |
$13K |
| 99309 |
|
592 |
423 |
$13K |
| 97530 |
|
144 |
100 |
$13K |
| 73564 |
|
1,094 |
804 |
$12K |
| 85025 |
|
26,631 |
13,821 |
$12K |
| 85027 |
|
32,470 |
9,251 |
$12K |
| 88173 |
|
238 |
226 |
$12K |
| 99152 |
|
972 |
848 |
$12K |
| 85060 |
|
947 |
890 |
$12K |
| 86923 |
|
2,204 |
664 |
$11K |
| 73721 |
|
222 |
208 |
$11K |
| 95816 |
|
275 |
253 |
$11K |
| 11043 |
|
142 |
99 |
$11K |
| 83735 |
|
20,544 |
4,727 |
$11K |
| 85097 |
|
321 |
298 |
$11K |
| 95811 |
|
27 |
26 |
$10K |
| 95938 |
|
370 |
345 |
$10K |
| 31237 |
|
80 |
67 |
$10K |
| 72170 |
|
1,811 |
1,657 |
$10K |
| 73110 |
|
1,504 |
1,351 |
$10K |
| 80069 |
|
12,824 |
2,664 |
$10K |
| 90846 |
|
97 |
80 |
$10K |
| 96136 |
|
371 |
322 |
$10K |
| 80307 |
|
2,699 |
1,036 |
$9K |
| 98942 |
|
335 |
239 |
$9K |
| 93295 |
|
388 |
372 |
$9K |
| 99443 |
|
224 |
191 |
$9K |
| 11100 |
|
234 |
221 |
$9K |
| 93880 |
|
569 |
520 |
$9K |
| 20610 |
|
159 |
142 |
$9K |
| 84165 |
|
876 |
862 |
$8K |
| 64615 |
|
125 |
118 |
$8K |
| G0500 |
Mod sedat endo service >5yrs |
454 |
422 |
$8K |
| 80048 |
|
11,520 |
4,684 |
$8K |
| 88304 |
|
936 |
858 |
$8K |
| 76506 |
|
388 |
273 |
$8K |
| 88381 |
|
433 |
407 |
$8K |
| 76813 |
|
110 |
103 |
$8K |
| 76821 |
|
202 |
188 |
$8K |
| 31579 |
|
83 |
79 |
$8K |
| D4355 |
|
49 |
38 |
$8K |
| 90686 |
|
474 |
452 |
$8K |
| 90870 |
|
26 |
12 |
$7K |
| 74176 |
|
161 |
142 |
$7K |
| D7140 |
|
117 |
29 |
$7K |
| J7999 |
Compounded drug, noc |
92 |
92 |
$7K |
| 86334 |
|
558 |
543 |
$7K |
| 93000 |
|
644 |
639 |
$7K |
| 01996 |
|
185 |
107 |
$7K |
| 51784 |
|
221 |
210 |
$7K |
| 88346 |
|
395 |
355 |
$7K |
| 51741 |
|
1,094 |
950 |
$6K |
| 76820 |
|
296 |
273 |
$6K |
| 91200 |
|
801 |
768 |
$6K |
| 76536 |
|
339 |
327 |
$6K |
| 76827 |
|
197 |
182 |
$6K |
| 99201 |
|
170 |
149 |
$6K |
| 93925 |
|
311 |
272 |
$6K |
| 74019 |
|
752 |
602 |
$6K |
| 36226 |
|
29 |
25 |
$6K |
| 93922 |
|
903 |
776 |
$5K |
| 87633 |
|
121 |
103 |
$5K |
| 90471 |
|
289 |
281 |
$5K |
| 93294 |
|
353 |
340 |
$5K |
| 96112 |
|
52 |
50 |
$5K |
| 74170 |
|
141 |
132 |
$5K |
| 77073 |
|
518 |
487 |
$5K |
| 73552 |
|
953 |
825 |
$5K |
| D9310 |
|
102 |
91 |
$4K |
| 77427 |
|
37 |
14 |
$4K |
| 90962 |
|
99 |
81 |
$4K |
| 72156 |
|
55 |
52 |
$4K |
| 87040 |
|
4,395 |
1,594 |
$4K |
| 11102 |
|
101 |
100 |
$4K |
| 84443 |
|
4,364 |
4,069 |
$4K |
| 85384 |
|
3,045 |
1,247 |
$4K |
| 0298T |
|
407 |
363 |
$4K |
| 85730 |
|
8,707 |
3,465 |
$4K |
| 84100 |
|
9,264 |
2,501 |
$4K |
| 31575 |
|
97 |
91 |
$4K |
| 73120 |
|
694 |
411 |
$3K |
| 85610 |
|
11,937 |
5,210 |
$3K |
| 87502 |
|
364 |
345 |
$3K |
| 88313 |
|
209 |
190 |
$3K |
| 82306 |
|
2,218 |
2,175 |
$3K |
| 99442 |
|
90 |
65 |
$3K |
| 95251 |
|
159 |
155 |
$3K |
| 92201 |
|
181 |
92 |
$3K |
| 88350 |
|
35 |
26 |
$3K |
| D9995 |
|
140 |
109 |
$3K |
| 93976 |
|
125 |
108 |
$3K |
| D0330 |
|
144 |
120 |
$3K |
| 92226 |
|
216 |
69 |
$3K |
| 74174 |
|
59 |
54 |
$3K |
| 88348 |
|
78 |
65 |
$3K |
| 36415 |
|
1,405 |
1,282 |
$3K |
| 51600 |
|
66 |
64 |
$3K |
| 74178 |
|
41 |
37 |
$3K |
| 93886 |
|
98 |
27 |
$3K |
| 0031A |
|
64 |
63 |
$3K |
| 73700 |
|
68 |
61 |
$3K |
| 96127 |
|
1,748 |
1,598 |
$2K |
| 83880 |
|
619 |
538 |
$2K |
| 96111 |
|
25 |
25 |
$2K |
| 99177 |
|
1,011 |
983 |
$2K |
| 90960 |
|
30 |
26 |
$2K |
| 87634 |
|
284 |
267 |
$2K |
| 99460 |
|
25 |
25 |
$2K |
| 95885 |
|
127 |
122 |
$2K |
| 77334 |
|
29 |
24 |
$2K |
| 88311 |
|
247 |
218 |
$2K |
| 72158 |
|
28 |
25 |
$2K |
| 70491 |
|
43 |
39 |
$2K |
| 72146 |
|
48 |
43 |
$2K |
| 76805 |
|
13 |
13 |
$2K |
| 76819 |
|
74 |
62 |
$2K |
| 31622 |
|
31 |
24 |
$2K |
| 52000 |
|
27 |
27 |
$2K |
| 71271 |
|
33 |
32 |
$2K |
| 77062 |
|
187 |
184 |
$2K |
| D1110 |
|
31 |
27 |
$2K |
| 82728 |
|
3,090 |
2,813 |
$2K |
| 77065 |
Tomosynthesis, mammo |
83 |
80 |
$2K |
| 77072 |
|
223 |
222 |
$2K |
| 92250 |
|
112 |
108 |
$2K |
| D0210 |
|
80 |
63 |
$1K |
| 87086 |
|
2,944 |
2,449 |
$1K |
| 88331 |
|
15 |
12 |
$1K |
| 77263 |
|
13 |
13 |
$1K |
| 80197 |
|
582 |
157 |
$1K |
| 83605 |
|
1,342 |
545 |
$1K |
| 45380 |
|
13 |
12 |
$1K |
| 84439 |
|
1,944 |
1,795 |
$1K |
| 95819 |
|
27 |
27 |
$1K |
| 93454 |
|
13 |
12 |
$1K |
| 72157 |
|
18 |
17 |
$1K |
| 43235 |
|
14 |
13 |
$1K |
| 96152 |
|
15 |
12 |
$1K |
| 87389 |
|
1,545 |
1,389 |
$1K |
| 76817 |
|
12 |
12 |
$1K |
| 96133 |
|
14 |
12 |
$1K |
| 99308 |
|
46 |
40 |
$1K |
| 83615 |
|
3,108 |
1,148 |
$1K |
| 97760 |
|
12 |
12 |
$1K |
| 88108 |
|
72 |
63 |
$1K |
| 83970 |
|
295 |
288 |
$1K |
| 72050 |
|
111 |
106 |
$1K |
| 89051 |
|
497 |
364 |
$1K |
| 72082 |
|
131 |
114 |
$1K |
| D2391 |
|
28 |
17 |
$1K |
| 98968 |
|
27 |
27 |
$987.78 |
| 84478 |
|
1,269 |
308 |
$985.80 |
| 97162 |
|
12 |
12 |
$973.75 |
| 81003 |
|
2,936 |
1,847 |
$972.50 |
| 86140 |
|
2,406 |
1,820 |
$969.58 |
| 51728 |
|
12 |
12 |
$967.40 |
| 96159 |
|
32 |
24 |
$965.40 |
| 84484 |
|
2,266 |
1,192 |
$956.66 |
| 87798 |
|
260 |
228 |
$947.43 |
| 92285 |
|
454 |
433 |
$946.83 |
| 74455 |
|
78 |
76 |
$937.24 |
| 96132 |
|
13 |
12 |
$930.63 |
| 83690 |
|
1,510 |
1,267 |
$928.36 |
| 73620 |
|
167 |
105 |
$927.04 |
| 82248 |
|
1,127 |
496 |
$923.09 |
| 88360 |
|
13 |
12 |
$923.04 |
| H0004 |
Alcohol and/or drug services |
632 |
412 |
$913.00 |
| D0272 |
|
46 |
41 |
$910.44 |
| 83036 |
|
2,504 |
2,356 |
$899.11 |
| 80076 |
|
1,633 |
978 |
$891.65 |
| 62370 |
|
45 |
37 |
$883.64 |
| J3301 |
Triamcinolone acet inj nos |
122 |
120 |
$853.20 |
| 93244 |
|
62 |
61 |
$848.21 |
| 80061 |
|
2,090 |
1,739 |
$830.96 |
| 99421 |
|
79 |
77 |
$812.43 |
| 77300 |
|
16 |
12 |
$750.57 |
| D2933 |
|
65 |
12 |
$749.76 |
| 83550 |
|
1,097 |
997 |
$696.29 |
| 86077 |
|
30 |
25 |
$653.89 |
| 72110 |
|
58 |
55 |
$637.55 |
| 96167 |
|
12 |
12 |
$637.51 |
| 82550 |
|
600 |
299 |
$623.88 |
| 84550 |
|
1,875 |
608 |
$622.01 |
| 94729 |
|
99 |
95 |
$621.80 |
| 73701 |
|
14 |
12 |
$599.75 |
| 92025 |
|
57 |
52 |
$586.54 |
| 83540 |
|
1,581 |
1,461 |
$578.37 |
| 51798 |
|
70 |
61 |
$571.49 |
| 81001 |
|
2,830 |
2,415 |
$549.57 |
| 97811 |
|
23 |
12 |
$548.01 |
| 86803 |
|
568 |
554 |
$541.51 |
| 87340 |
|
739 |
598 |
$526.44 |
| 76513 |
|
25 |
25 |
$487.17 |
| 97026 |
|
171 |
119 |
$469.16 |
| 82570 |
|
1,332 |
1,107 |
$467.16 |
| 99173 |
|
177 |
174 |
$456.83 |
| 98967 |
|
24 |
18 |
$456.32 |
| 87581 |
|
119 |
102 |
$449.78 |
| 87486 |
|
119 |
102 |
$449.78 |
| 80202 |
|
369 |
155 |
$445.91 |
| 99441 |
|
31 |
29 |
$439.49 |
| 88365 |
|
13 |
12 |
$437.90 |
| 17000 |
|
32 |
31 |
$426.48 |
| 98943 |
|
21 |
12 |
$422.00 |
| D0240 |
|
43 |
24 |
$417.66 |
| 87641 |
|
199 |
190 |
$415.34 |
| 77001 |
|
33 |
27 |
$397.22 |
| 51797 |
|
12 |
12 |
$384.69 |
| 81015 |
|
1,754 |
1,460 |
$382.33 |
| 82247 |
|
462 |
240 |
$371.10 |
| D1351 |
|
44 |
12 |
$370.10 |
| 86706 |
|
349 |
340 |
$365.23 |
| 93282 |
|
14 |
12 |
$344.56 |
| 70250 |
|
30 |
27 |
$332.07 |
| 86704 |
|
415 |
285 |
$330.15 |
| 70544 |
|
14 |
13 |
$318.18 |
| 0011A |
|
13 |
13 |
$301.07 |
| 93990 |
|
47 |
37 |
$284.96 |
| 85652 |
|
1,517 |
1,386 |
$284.31 |
| 73070 |
|
62 |
53 |
$280.26 |
| 82607 |
|
268 |
263 |
$278.43 |
| 80305 |
|
820 |
726 |
$271.85 |
| 73090 |
|
43 |
39 |
$268.82 |
| 76937 |
|
30 |
26 |
$265.40 |
| 82105 |
|
176 |
158 |
$255.90 |
| 87640 |
|
211 |
202 |
$255.01 |
| D0220 |
|
18 |
14 |
$251.36 |
| 97597 |
|
13 |
12 |
$228.76 |
| 82533 |
|
302 |
103 |
$228.05 |
| 99422 |
|
18 |
13 |
$225.04 |
| 86850 |
|
1,679 |
1,263 |
$216.90 |
| 94060 |
|
27 |
25 |
$205.41 |
| 93931 |
|
14 |
13 |
$198.52 |
| 84156 |
|
630 |
520 |
$196.56 |
| 73080 |
|
31 |
25 |
$189.42 |
| 87653 |
|
68 |
64 |
$186.51 |
| 92587 |
|
12 |
12 |
$168.82 |
| 74420 |
|
20 |
13 |
$147.91 |
| 97140 |
|
18 |
13 |
$142.32 |
| 72190 |
|
14 |
13 |
$140.36 |
| 87660 |
|
144 |
140 |
$133.90 |
| 87510 |
|
144 |
140 |
$133.90 |
| 87480 |
|
144 |
140 |
$133.90 |
| 94727 |
|
14 |
12 |
$133.41 |
| 85045 |
|
205 |
168 |
$123.95 |
| 84146 |
|
147 |
143 |
$123.54 |
| 94750 |
|
14 |
12 |
$120.26 |
| 84702 |
|
283 |
234 |
$118.83 |
| 87799 |
|
85 |
34 |
$116.58 |
| 73600 |
|
16 |
13 |
$101.89 |
| 81025 |
|
167 |
161 |
$99.09 |
| D0350 |
|
60 |
54 |
$93.00 |
| 82947 |
|
149 |
123 |
$91.91 |
| 86900 |
|
1,748 |
1,323 |
$89.70 |
| 86901 |
|
1,750 |
1,323 |
$89.34 |
| 83090 |
|
56 |
55 |
$81.97 |
| 94726 |
|
15 |
13 |
$78.83 |
| 87205 |
|
180 |
134 |
$74.74 |
| 75565 |
|
13 |
12 |
$74.36 |
| 73060 |
|
13 |
13 |
$69.39 |
| 87624 |
|
93 |
93 |
$54.58 |
| 82565 |
|
63 |
59 |
$49.05 |
| 87015 |
|
106 |
87 |
$47.11 |
| 82330 |
|
256 |
110 |
$46.82 |
| 84466 |
|
535 |
500 |
$46.22 |
| 84460 |
|
124 |
70 |
$45.21 |
| 80164 |
|
34 |
30 |
$43.36 |
| G1004 |
Cdsm ndsc |
44,780 |
31,194 |
$42.87 |
| 84295 |
|
252 |
29 |
$41.60 |
| 87491 |
|
31 |
27 |
$41.33 |
| 87591 |
|
31 |
27 |
$41.33 |
| 82040 |
|
100 |
51 |
$39.87 |
| 84450 |
|
129 |
74 |
$39.67 |
| 87324 |
|
65 |
60 |
$37.04 |
| 87522 |
Neg quan hep c or qual rna |
43 |
42 |
$37.00 |
| 84153 |
|
31 |
26 |
$31.50 |
| 82043 |
|
67 |
66 |
$29.66 |
| 86880 |
|
39 |
21 |
$29.32 |
| 82977 |
|
138 |
107 |
$26.60 |
| 82945 |
|
78 |
61 |
$26.49 |
| 82140 |
|
74 |
49 |
$25.20 |
| 82150 |
|
73 |
44 |
$23.38 |
| 85520 |
|
415 |
42 |
$22.62 |
| 85660 |
|
85 |
19 |
$15.00 |
| 85014 |
|
98 |
72 |
$12.61 |
| 84157 |
|
92 |
73 |
$11.66 |
| 84132 |
|
76 |
30 |
$6.26 |
| 84300 |
|
143 |
83 |
$3.78 |
| 96160 |
|
767 |
699 |
$3.23 |
| 3078F |
|
17 |
16 |
$0.00 |
| 83721 |
|
61 |
56 |
$0.00 |
| 87497 |
|
143 |
79 |
$0.00 |
| 80365 |
|
19 |
17 |
$0.00 |
| 80361 |
|
19 |
17 |
$0.00 |
| 87536 |
|
61 |
53 |
$0.00 |
| 91301 |
|
32 |
32 |
$0.00 |
| 3074F |
|
15 |
14 |
$0.00 |
| 84075 |
|
57 |
28 |
$0.00 |
| 91303 |
|
64 |
63 |
$0.00 |
| T1016 |
Case management |
53 |
38 |
$0.00 |
| 85018 |
|
86 |
21 |
$0.00 |
| 86361 |
|
39 |
39 |
$0.00 |
| 87500 |
|
71 |
42 |
$0.00 |
| 86920 |
|
34 |
12 |
$0.00 |
| 82784 |
|
20 |
14 |
$0.00 |
| 83935 |
|
38 |
26 |
$0.00 |
| 83050 |
|
41 |
13 |
$0.00 |