| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
|
66,614 |
44,189 |
$6.78M |
| J7030 |
Normal saline solution infus |
13,526 |
10,038 |
$2.48M |
| 80053 |
|
59,967 |
51,114 |
$1.78M |
| 86900 |
|
8,110 |
7,220 |
$1.22M |
| 99283 |
|
22,742 |
20,792 |
$962K |
| 87491 |
|
22,953 |
21,965 |
$836K |
| J7050 |
Normal saline solution infus |
11,178 |
5,690 |
$826K |
| 86703 |
|
11,766 |
11,331 |
$700K |
| A9577 |
Inj multihance |
601 |
505 |
$426K |
| 87637 |
|
9,810 |
8,659 |
$415K |
| 87077 |
|
15,759 |
14,732 |
$394K |
| 87086 |
|
32,131 |
29,142 |
$394K |
| J7040 |
Normal saline solution infus |
3,192 |
2,632 |
$387K |
| 99284 |
|
25,311 |
21,987 |
$335K |
| 87081 |
|
30,631 |
29,861 |
$328K |
| 80048 |
|
27,347 |
18,172 |
$267K |
| 77062 |
|
1,328 |
1,290 |
$250K |
| 81001 |
|
29,880 |
26,031 |
$249K |
| 86695 |
|
1,430 |
1,392 |
$249K |
| 93971 |
|
1,409 |
1,283 |
$237K |
| 88305 |
|
6,133 |
5,646 |
$234K |
| 99282 |
|
3,258 |
3,017 |
$220K |
| 80061 |
|
18,610 |
17,915 |
$216K |
| 82565 |
|
1,218 |
1,138 |
$195K |
| 80307 |
|
7,918 |
6,858 |
$179K |
| 87426 |
|
7,602 |
6,451 |
$177K |
| 84439 |
|
15,316 |
14,559 |
$168K |
| 87624 |
|
5,040 |
4,906 |
$166K |
| 96372 |
|
14,563 |
6,528 |
$165K |
| 82962 |
|
6,425 |
3,868 |
$162K |
| 87486 |
|
1,504 |
1,328 |
$162K |
| 82306 |
|
8,496 |
8,048 |
$160K |
| 97110 |
|
5,894 |
2,136 |
$152K |
| G0463 |
Hospital outpt clinic visit |
5,121 |
4,223 |
$150K |
| 71045 |
|
18,002 |
14,756 |
$137K |
| 77063 |
|
1,432 |
1,406 |
$135K |
| 81025 |
|
13,296 |
12,234 |
$133K |
| 88175 |
|
11,652 |
11,255 |
$116K |
| 70450 |
|
7,209 |
6,233 |
$114K |
| 96365 |
|
6,161 |
4,537 |
$113K |
| 84702 |
|
8,997 |
6,906 |
$105K |
| 99285 |
|
15,781 |
13,125 |
$103K |
| 82950 |
|
4,305 |
4,241 |
$103K |
| U0002 |
Covid-19 lab test non-cdc |
4,274 |
3,796 |
$100K |
| 82607 |
|
4,121 |
3,877 |
$99K |
| 77336 |
|
1,072 |
439 |
$98K |
| A9578 |
Inj multihance multipack |
268 |
244 |
$92K |
| 71250 |
|
609 |
553 |
$85K |
| 85027 |
|
27,900 |
22,120 |
$84K |
| 76642 |
|
2,062 |
1,828 |
$82K |
| 87480 |
|
1,141 |
1,107 |
$82K |
| 85025 |
|
64,162 |
50,208 |
$81K |
| 93306 |
|
806 |
674 |
$77K |
| 87070 |
|
2,192 |
1,977 |
$76K |
| 70551 |
|
504 |
423 |
$75K |
| 81511 |
|
807 |
798 |
$73K |
| 96376 |
|
10,465 |
3,878 |
$72K |
| 71260 |
|
1,062 |
971 |
$72K |
| 93005 |
|
24,364 |
19,512 |
$72K |
| 72148 |
|
237 |
211 |
$69K |
| 74177 |
|
5,771 |
5,154 |
$68K |
| 70553 |
|
189 |
173 |
$67K |
| G0378 |
Hospital observation per hr |
26,638 |
6,581 |
$65K |
| 86038 |
|
1,873 |
1,781 |
$63K |
| 96374 |
|
17,188 |
13,969 |
$61K |
| 73030 |
|
1,244 |
1,066 |
$61K |
| 71046 |
|
2,460 |
2,220 |
$59K |
| 99211 |
|
1,603 |
1,316 |
$58K |
| J1815 |
Insulin injection |
3,604 |
1,411 |
$57K |
| 82728 |
|
4,751 |
4,442 |
$54K |
| 83036 |
|
7,596 |
7,142 |
$51K |
| 84443 |
|
26,342 |
24,791 |
$51K |
| 71275 |
|
1,903 |
1,685 |
$50K |
| Q0163 |
Diphenhydramine hcl 50mg |
1,927 |
1,140 |
$48K |
| 84112 |
|
494 |
450 |
$48K |
| 96361 |
|
9,944 |
8,412 |
$46K |
| 93970 |
|
404 |
333 |
$42K |
| 85610 |
|
22,807 |
19,221 |
$40K |
| 88304 |
|
1,653 |
1,553 |
$38K |
| 73610 |
|
461 |
398 |
$38K |
| M0243 |
Casirivi and imdevi inj |
221 |
211 |
$37K |
| J2405 |
Ondansetron hcl injection |
18,053 |
13,777 |
$36K |
| 74018 |
|
1,125 |
924 |
$35K |
| 82670 |
|
426 |
414 |
$34K |
| 72125 |
|
1,979 |
1,790 |
$33K |
| 87210 |
|
1,213 |
1,132 |
$32K |
| 82533 |
|
839 |
749 |
$32K |
| 76705 |
|
1,282 |
1,184 |
$32K |
| 73560 |
|
887 |
703 |
$31K |
| 77061 |
|
251 |
247 |
$31K |
| 80076 |
|
5,507 |
4,825 |
$31K |
| 83001 |
|
1,106 |
1,070 |
$29K |
| 70486 |
|
453 |
414 |
$27K |
| 72100 |
|
1,113 |
1,024 |
$26K |
| 87507 |
|
127 |
114 |
$25K |
| J1644 |
Inj heparin sodium per 1000u |
9,604 |
2,515 |
$25K |
| 93226 |
|
59 |
55 |
$25K |
| 78306 |
|
64 |
54 |
$25K |
| 91300 |
|
674 |
618 |
$24K |
| 73564 |
|
739 |
629 |
$24K |
| 73130 |
|
442 |
372 |
$24K |
| 77334 |
|
92 |
67 |
$24K |
| J2001 |
Lidocaine injection |
24,048 |
7,919 |
$23K |
| 74176 |
|
2,353 |
2,073 |
$23K |
| 73630 |
|
666 |
567 |
$22K |
| 83735 |
|
9,274 |
6,893 |
$22K |
| 83540 |
|
5,417 |
5,140 |
$22K |
| 96375 |
|
13,866 |
9,608 |
$21K |
| 94640 |
|
7,675 |
2,353 |
$21K |
| 76536 |
|
312 |
295 |
$21K |
| 82550 |
|
2,232 |
1,717 |
$21K |
| 96360 |
|
3,195 |
2,876 |
$20K |
| 86140 |
|
5,102 |
4,502 |
$20K |
| 84550 |
|
1,863 |
1,673 |
$20K |
| 85730 |
|
19,005 |
16,083 |
$20K |
| 82570 |
|
4,088 |
3,747 |
$19K |
| 76815 |
|
1,085 |
960 |
$19K |
| 87880 |
|
1,372 |
1,313 |
$19K |
| 97140 |
|
1,316 |
590 |
$18K |
| 73090 |
|
126 |
118 |
$18K |
| 82784 |
|
744 |
698 |
$18K |
| J7120 |
Ringers lactate infusion |
13,168 |
10,613 |
$18K |
| 84146 |
|
867 |
842 |
$18K |
| J2704 |
Inj, propofol, 10 mg |
8,150 |
6,791 |
$18K |
| J3010 |
Fentanyl citrate injection |
12,529 |
7,386 |
$18K |
| 76830 |
|
730 |
689 |
$17K |
| 83880 |
|
10,399 |
8,678 |
$16K |
| 78452 |
|
75 |
67 |
$16K |
| 86704 |
|
3,826 |
3,658 |
$16K |
| J1650 |
Inj enoxaparin sodium |
4,130 |
785 |
$15K |
| 82043 |
|
2,070 |
1,992 |
$15K |
| 95810 |
|
38 |
37 |
$14K |
| 97161 |
|
2,302 |
1,747 |
$14K |
| 85652 |
|
4,434 |
3,950 |
$13K |
| 73502 |
|
837 |
707 |
$13K |
| 84484 |
|
14,274 |
10,486 |
$13K |
| 85378 |
|
3,527 |
3,117 |
$12K |
| 82951 |
|
1,147 |
1,116 |
$12K |
| J0696 |
Ceftriaxone sodium injection |
5,001 |
3,274 |
$12K |
| 12002 |
|
116 |
110 |
$12K |
| 73590 |
|
294 |
235 |
$12K |
| 83690 |
|
17,151 |
14,740 |
$11K |
| 87045 |
|
152 |
147 |
$11K |
| 97530 |
|
4,066 |
1,296 |
$11K |
| 93225 |
|
88 |
77 |
$11K |
| J0744 |
Ciprofloxacin iv |
850 |
584 |
$11K |
| 49083 |
|
44 |
28 |
$10K |
| 85018 |
|
1,092 |
474 |
$10K |
| 95806 |
|
104 |
103 |
$10K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12,289 |
9,072 |
$10K |
| 86850 |
|
7,227 |
6,510 |
$10K |
| 93458 |
|
259 |
233 |
$10K |
| 77300 |
|
73 |
67 |
$10K |
| 82785 |
|
137 |
131 |
$9K |
| 88108 |
|
92 |
80 |
$9K |
| 86235 |
|
1,162 |
909 |
$9K |
| 88173 |
|
441 |
416 |
$9K |
| 86780 |
|
12,749 |
12,318 |
$9K |
| J2270 |
Morphine sulfate injection |
8,703 |
6,088 |
$9K |
| 76770 |
|
212 |
184 |
$9K |
| 43239 |
|
616 |
546 |
$8K |
| 86706 |
|
4,210 |
4,011 |
$8K |
| J1170 |
Hydromorphone injection |
9,001 |
6,162 |
$8K |
| 88307 |
|
930 |
883 |
$7K |
| 91307 |
|
189 |
165 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
11,072 |
7,295 |
$7K |
| 83021 |
|
1,054 |
1,010 |
$7K |
| 88184 |
|
26 |
24 |
$7K |
| C9113 |
Inj pantoprazole sodium, via |
1,161 |
508 |
$6K |
| J0690 |
Cefazolin sodium injection |
4,546 |
3,266 |
$6K |
| 77412 |
|
85 |
12 |
$6K |
| 76819 |
|
90 |
77 |
$6K |
| 84144 |
|
331 |
309 |
$6K |
| 97165 |
|
1,337 |
968 |
$6K |
| 84403 |
|
1,107 |
1,062 |
$6K |
| 86225 |
|
1,136 |
1,083 |
$6K |
| 84425 |
|
810 |
766 |
$6K |
| 84153 |
|
509 |
474 |
$5K |
| 76801 |
|
1,592 |
1,407 |
$5K |
| 97112 |
|
539 |
268 |
$5K |
| 12001 |
|
53 |
50 |
$5K |
| J3475 |
Inj magnesium sulfate |
1,236 |
870 |
$5K |
| 83615 |
|
904 |
696 |
$5K |
| 88142 |
|
625 |
604 |
$5K |
| 72040 |
|
98 |
92 |
$5K |
| 97535 |
|
1,408 |
733 |
$5K |
| 73120 |
|
33 |
29 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
7,453 |
6,650 |
$5K |
| 86593 |
|
51 |
48 |
$4K |
| J7042 |
5% dextrose/normal saline |
150 |
67 |
$4K |
| 76700 |
|
44 |
41 |
$4K |
| 88341 |
|
501 |
448 |
$4K |
| 86003 |
|
162 |
151 |
$4K |
| 72141 |
|
21 |
12 |
$4K |
| 84156 |
|
3,139 |
2,563 |
$4K |
| 84155 |
|
345 |
297 |
$4K |
| 86160 |
|
651 |
604 |
$4K |
| 99291 |
|
280 |
249 |
$4K |
| J2550 |
Promethazine hcl injection |
3,465 |
2,458 |
$3K |
| 82746 |
|
1,741 |
1,621 |
$3K |
| 82077 |
|
3,717 |
3,273 |
$3K |
| 84145 |
|
752 |
536 |
$3K |
| 86200 |
|
510 |
491 |
$3K |
| 82947 |
|
423 |
397 |
$3K |
| 83970 |
|
675 |
615 |
$3K |
| J2060 |
Lorazepam injection |
2,402 |
1,644 |
$3K |
| 87205 |
|
2,511 |
2,148 |
$3K |
| J0780 |
Prochlorperazine injection |
452 |
348 |
$3K |
| 82805 |
|
728 |
573 |
$3K |
| 87075 |
|
1,206 |
1,034 |
$3K |
| 84481 |
|
1,391 |
1,352 |
$3K |
| 86803 |
|
12,985 |
12,415 |
$3K |
| 84100 |
|
1,527 |
1,027 |
$3K |
| 36430 |
|
837 |
584 |
$3K |
| 73110 |
|
27 |
25 |
$3K |
| 83520 |
|
130 |
116 |
$3K |
| 0002A |
|
325 |
321 |
$2K |
| 82747 |
|
1,145 |
1,049 |
$2K |
| J3370 |
Vancomycin hcl injection |
1,808 |
865 |
$2K |
| 86762 |
|
4,510 |
4,304 |
$2K |
| 74220 |
|
40 |
39 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
559 |
201 |
$2K |
| J1100 |
Dexamethasone sodium phos |
6,820 |
5,020 |
$2K |
| 86709 |
|
3,558 |
3,424 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,626 |
698 |
$2K |
| 85014 |
|
1,420 |
602 |
$2K |
| 86901 |
|
8,107 |
7,221 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
1,980 |
899 |
$2K |
| 87632 |
|
979 |
868 |
$2K |
| 58661 |
|
28 |
27 |
$2K |
| 91301 |
|
54 |
54 |
$2K |
| 83013 |
|
94 |
92 |
$2K |
| 87641 |
|
149 |
130 |
$2K |
| 87040 |
|
2,827 |
2,207 |
$2K |
| 0001A |
|
313 |
307 |
$2K |
| J0360 |
Hydralazine hcl injection |
1,763 |
1,083 |
$2K |
| M0222 |
Bebtelovimab injection |
28 |
28 |
$2K |
| 85045 |
|
1,543 |
1,274 |
$2K |
| 87591 |
|
21,411 |
20,452 |
$2K |
| M0245 |
Bamlan and etesev infusion |
15 |
14 |
$2K |
| 77065 |
Tomosynthesis, mammo |
360 |
352 |
$2K |
| 70496 |
|
58 |
52 |
$2K |
| 76856 |
|
907 |
859 |
$2K |
| 83516 |
|
308 |
287 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
2,447 |
1,755 |
$2K |
| J0134 |
Inj acetaminophen -fresenius |
121 |
53 |
$2K |
| 84270 |
|
187 |
182 |
$2K |
| C1751 |
Cath, inf, per/cent/midline |
93 |
66 |
$2K |
| 86481 |
|
390 |
361 |
$2K |
| 81514 |
|
2,276 |
2,147 |
$2K |
| Q9954 |
Oral mr contrast, 100 ml |
604 |
531 |
$2K |
| 74022 |
|
37 |
29 |
$1K |
| 86787 |
|
3,184 |
3,053 |
$1K |
| 82627 |
|
14 |
14 |
$1K |
| 97116 |
|
2,053 |
648 |
$1K |
| J8540 |
Oral dexamethasone |
61 |
37 |
$1K |
| 87255 |
|
25 |
24 |
$1K |
| J3486 |
Ziprasidone mesylate |
1,411 |
732 |
$1K |
| P9016 |
Rbc leukocytes reduced |
774 |
566 |
$1K |
| 77067 |
|
1,466 |
1,440 |
$1K |
| J2370 |
Phenylephrine hcl injection |
1,342 |
1,048 |
$1K |
| 73080 |
|
14 |
14 |
$1K |
| 80164 |
|
178 |
134 |
$1K |
| 70491 |
|
14 |
13 |
$1K |
| 74174 |
|
48 |
41 |
$1K |
| 80069 |
|
81 |
26 |
$1K |
| 82150 |
|
144 |
135 |
$960.43 |
| 93017 |
|
82 |
73 |
$866.12 |
| 82731 |
|
13 |
12 |
$858.99 |
| J2765 |
Metoclopramide hcl injection |
1,116 |
820 |
$780.86 |
| J1630 |
Haloperidol injection |
232 |
140 |
$776.46 |
| 87640 |
|
12 |
12 |
$750.16 |
| 81015 |
|
587 |
567 |
$744.09 |
| 76817 |
|
1,814 |
1,609 |
$705.22 |
| 20610 |
|
28 |
26 |
$691.92 |
| 86147 |
|
67 |
64 |
$685.42 |
| 82140 |
|
355 |
228 |
$679.77 |
| 87661 |
|
420 |
398 |
$678.10 |
| G0480 |
Drug test def 1-7 classes |
100 |
95 |
$670.01 |
| 96366 |
|
1,990 |
1,280 |
$656.66 |
| 0072A |
|
117 |
116 |
$644.40 |
| 83525 |
|
351 |
337 |
$643.33 |
| 0071A |
|
116 |
116 |
$608.60 |
| 85660 |
|
972 |
922 |
$605.16 |
| 83498 |
|
14 |
13 |
$596.11 |
| 92526 |
|
86 |
58 |
$589.72 |
| 87581 |
|
1,506 |
1,329 |
$547.66 |
| 86376 |
|
353 |
347 |
$545.63 |
| 71101 |
|
14 |
12 |
$538.31 |
| 86769 |
|
14 |
14 |
$527.50 |
| 72070 |
|
29 |
26 |
$513.57 |
| 87798 |
|
1,498 |
1,314 |
$496.08 |
| 83605 |
|
2,565 |
1,829 |
$461.57 |
| 51798 |
|
86 |
63 |
$446.38 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
529 |
432 |
$414.69 |
| J2930 |
Methylprednisolone injection |
1,664 |
1,161 |
$413.18 |
| J1921 |
Inj labetalol hcl hikma, 5mg |
67 |
63 |
$389.93 |
| J1940 |
Furosemide injection |
1,987 |
971 |
$379.22 |
| 87340 |
|
10,854 |
10,362 |
$344.58 |
| 72170 |
|
30 |
24 |
$317.83 |
| 88302 |
|
99 |
95 |
$315.32 |
| 0054A |
|
13 |
13 |
$300.73 |
| 87801 |
|
13 |
12 |
$291.60 |
| 86039 |
|
1,456 |
1,382 |
$288.91 |
| 86777 |
|
182 |
175 |
$279.48 |
| 87522 |
Neg quan hep c or qual rna |
14 |
12 |
$271.32 |
| 76870 |
|
13 |
12 |
$252.84 |
| 75574 |
|
15 |
14 |
$250.41 |
| 0003A |
|
95 |
94 |
$249.36 |
| 83550 |
|
4,150 |
3,920 |
$206.93 |
| 77066 |
Tomosynthesis, mammo |
1,335 |
1,296 |
$203.20 |
| 87804 |
|
50 |
46 |
$162.39 |
| 86431 |
|
1,217 |
1,183 |
$137.95 |
| 90715 |
|
757 |
685 |
$137.24 |
| 0004A |
|
37 |
36 |
$133.86 |
| 85613 |
|
40 |
36 |
$114.05 |
| 0013A |
|
21 |
21 |
$109.01 |
| 82247 |
|
23 |
17 |
$108.27 |
| 90471 |
|
785 |
695 |
$104.73 |
| 86696 |
|
1,338 |
1,299 |
$78.60 |
| 87186 |
|
9,291 |
8,552 |
$73.12 |
| 83921 |
|
508 |
484 |
$71.68 |
| J0330 |
Succinycholine chloride inj |
564 |
480 |
$68.48 |
| 87660 |
|
1,175 |
1,141 |
$62.61 |
| C8929 |
Tte w or wo fol wcon,doppler |
17 |
12 |
$62.02 |
| 83002 |
|
294 |
286 |
$60.01 |
| 86141 |
|
71 |
69 |
$57.62 |
| 80177 |
|
47 |
38 |
$55.85 |
| 84132 |
|
209 |
139 |
$45.02 |
| G0103 |
Psa screening |
215 |
192 |
$38.06 |
| 51702 |
|
26 |
25 |
$35.95 |
| 82575 |
|
27 |
26 |
$35.51 |
| 70498 |
|
60 |
54 |
$32.39 |
| 81003 |
|
13 |
13 |
$30.84 |
| J2543 |
Piperacillin/tazobactam |
462 |
182 |
$18.93 |
| 73552 |
|
36 |
29 |
$16.98 |
| 86256 |
|
115 |
109 |
$16.31 |
| 82248 |
|
17 |
16 |
$6.47 |
| 82952 |
|
1,147 |
1,116 |
$2.82 |
| 87899 |
|
135 |
129 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
178 |
127 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
829 |
624 |
$0.00 |
| C1729 |
Cath, drainage |
131 |
109 |
$0.00 |
| 84165 |
|
508 |
442 |
$0.00 |
| 86923 |
|
846 |
492 |
$0.00 |
| J1953 |
Levetiracetam injection |
441 |
285 |
$0.00 |
| 87076 |
|
12 |
12 |
$0.00 |
| 10005 |
|
75 |
71 |
$0.00 |
| C1887 |
Catheter, guiding |
344 |
281 |
$0.00 |
| 87106 |
|
14 |
12 |
$0.00 |
| 99152 |
|
376 |
351 |
$0.00 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
265 |
109 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
225 |
143 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
92 |
87 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
16 |
12 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
265 |
214 |
$0.00 |
| J1756 |
Iron sucrose injection |
83 |
38 |
$0.00 |
| 87633 |
|
67 |
61 |
$0.00 |
| 47563 |
|
13 |
13 |
$0.00 |
| G1004 |
Cdsm ndsc |
237 |
179 |
$0.00 |
| 77002 |
|
13 |
13 |
$0.00 |
| C1776 |
Joint device (implantable) |
16 |
12 |
$0.00 |
| Q0169 |
Promethazine hcl 12.5mg oral |
23 |
14 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
57 |
40 |
$0.00 |
| 76000 |
|
13 |
12 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
17 |
12 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
49 |
42 |
$0.00 |
| 93312 |
|
13 |
12 |
$0.00 |
| 73100 |
|
12 |
12 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
19 |
12 |
$0.00 |
| 93325 |
|
14 |
13 |
$0.00 |
| J3105 |
Terbutaline sulfate inj |
40 |
38 |
$0.00 |
| 87185 |
|
15 |
14 |
$0.00 |
| 86778 |
|
182 |
175 |
$0.00 |
| 88311 |
|
118 |
103 |
$0.00 |
| 84480 |
|
15 |
13 |
$0.00 |
| C1769 |
Guide wire |
2,074 |
1,627 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
355 |
314 |
$0.00 |
| 86800 |
|
124 |
122 |
$0.00 |
| 88342 |
|
1,273 |
1,147 |
$0.00 |
| 87154 |
|
19 |
15 |
$0.00 |
| C1781 |
Mesh (implantable) |
13 |
12 |
$0.00 |
| 86920 |
|
130 |
96 |
$0.00 |
| 84402 |
|
113 |
111 |
$0.00 |
| 87510 |
|
1,139 |
1,105 |
$0.00 |
| 87046 |
|
152 |
147 |
$0.00 |
| J3480 |
Inj potassium chloride |
113 |
63 |
$0.00 |
| J1335 |
Ertapenem injection |
55 |
36 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
50 |
33 |
$0.00 |
| J3360 |
Diazepam injection |
29 |
13 |
$0.00 |
| 87181 |
|
18 |
12 |
$0.00 |
| A9500 |
Tc99m sestamibi |
48 |
40 |
$0.00 |
| 90686 |
|
26 |
15 |
$0.00 |
| G0008 |
Admin influenza virus vac |
25 |
14 |
$0.00 |
| G0257 |
Unsched dialysis esrd pt hos |
50 |
15 |
$0.00 |
| J0500 |
Dicyclomine injection |
13 |
12 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
25 |
24 |
$0.00 |
| A4648 |
Implantable tissue marker |
12 |
12 |
$0.00 |
| 88185 |
|
26 |
24 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
31 |
26 |
$0.00 |
| 19083 |
|
27 |
24 |
$0.00 |
| G0379 |
Direct refer hospital observ |
14 |
13 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
38 |
24 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
39 |
34 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
46 |
24 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
497 |
199 |
$0.00 |
| J2785 |
Regadenoson injection |
18 |
13 |
$0.00 |
| A9503 |
Tc99m medronate |
14 |
12 |
$0.00 |