| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
551,168 |
503,862 |
$5.52M |
| 83036 |
|
773,458 |
765,131 |
$3.95M |
| 84443 |
|
478,667 |
473,273 |
$3.38M |
| 80061 |
|
484,731 |
481,687 |
$3.02M |
| 82565 |
|
657,703 |
639,015 |
$2.13M |
| 80051 |
|
433,202 |
421,654 |
$1.67M |
| 80307 |
|
59,300 |
47,245 |
$1.58M |
| 85027 |
|
559,970 |
555,340 |
$1.50M |
| 81513 |
|
64,229 |
61,996 |
$1.43M |
| 87491 |
|
227,963 |
214,774 |
$1.36M |
| 87591 |
|
227,629 |
214,481 |
$1.35M |
| 84460 |
|
507,318 |
499,463 |
$1.32M |
| 85025 |
|
229,780 |
222,851 |
$1.11M |
| 83970 |
|
33,482 |
32,894 |
$970K |
| 87088 |
|
284,948 |
269,136 |
$955K |
| 82274 |
|
95,503 |
95,215 |
$887K |
| 82043 |
|
194,552 |
192,545 |
$867K |
| 88305 |
|
71,429 |
48,571 |
$845K |
| 87636 |
|
31,640 |
31,497 |
$796K |
| 82728 |
|
123,290 |
121,872 |
$763K |
| 82607 |
|
88,943 |
88,604 |
$761K |
| 87481 |
|
63,936 |
61,708 |
$716K |
| 87661 |
|
63,719 |
61,498 |
$710K |
| 87389 |
|
136,724 |
135,701 |
$694K |
| 84153 |
|
45,861 |
45,213 |
$646K |
| 86803 |
|
120,899 |
120,045 |
$559K |
| 84439 |
|
127,423 |
122,913 |
$516K |
| 83550 |
|
116,479 |
115,096 |
$465K |
| 86780 |
|
149,004 |
144,166 |
$434K |
| 82310 |
|
104,341 |
101,988 |
$421K |
| 82746 |
|
42,730 |
42,606 |
$397K |
| 86141 |
|
53,848 |
52,579 |
$388K |
| 87505 |
|
8,362 |
8,334 |
$378K |
| 87186 |
|
78,611 |
76,276 |
$375K |
| 87635 |
|
15,196 |
14,666 |
$356K |
| 84075 |
|
139,756 |
136,371 |
$353K |
| 82247 |
|
142,237 |
138,355 |
$344K |
| 83540 |
|
118,761 |
117,298 |
$335K |
| 84403 |
|
32,688 |
31,980 |
$299K |
| 84132 |
|
90,944 |
88,790 |
$296K |
| 84520 |
|
127,518 |
121,431 |
$276K |
| 84450 |
|
112,813 |
110,050 |
$267K |
| 87340 |
|
113,249 |
112,359 |
$251K |
| 83721 |
|
51,072 |
50,907 |
$248K |
| 82947 |
|
158,008 |
155,076 |
$228K |
| 84295 |
|
66,005 |
65,279 |
$223K |
| 82040 |
|
70,081 |
68,067 |
$214K |
| 87536 |
|
6,359 |
6,269 |
$205K |
| 88342 |
|
5,589 |
5,156 |
$157K |
| 87522 |
Neg quan hep c or qual rna |
7,675 |
7,511 |
$146K |
| 83735 |
|
42,065 |
40,657 |
$139K |
| 87633 |
|
2,685 |
2,657 |
$131K |
| 84100 |
|
44,726 |
42,789 |
$130K |
| 85014 |
|
62,376 |
60,591 |
$124K |
| 87529 |
|
9,854 |
4,902 |
$124K |
| 85018 |
|
52,517 |
50,972 |
$119K |
| 85652 |
|
74,582 |
73,471 |
$118K |
| 88341 |
|
2,931 |
2,030 |
$116K |
| 82105 |
|
9,553 |
9,398 |
$108K |
| 82378 |
|
6,574 |
6,138 |
$106K |
| 83718 |
|
30,106 |
29,986 |
$105K |
| 87081 |
|
125,985 |
124,531 |
$97K |
| 87517 |
|
3,377 |
3,323 |
$91K |
| 82670 |
|
17,859 |
17,706 |
$91K |
| 87070 |
|
28,904 |
27,643 |
$90K |
| 83520 |
|
12,363 |
12,296 |
$84K |
| 86317 |
|
20,982 |
20,855 |
$84K |
| 83001 |
|
24,862 |
24,516 |
$83K |
| 87497 |
|
1,766 |
1,543 |
$82K |
| 86704 |
|
16,322 |
16,220 |
$76K |
| 82024 |
|
4,241 |
4,041 |
$69K |
| 84550 |
|
30,698 |
30,258 |
$64K |
| 86304 |
|
4,803 |
4,613 |
$61K |
| 84480 |
|
15,114 |
14,803 |
$58K |
| 82627 |
|
11,948 |
11,787 |
$56K |
| 82465 |
|
34,322 |
34,212 |
$55K |
| 84270 |
|
9,393 |
9,216 |
$55K |
| 84134 |
|
8,053 |
7,758 |
$53K |
| 86762 |
|
29,959 |
29,880 |
$51K |
| 86787 |
|
30,953 |
30,826 |
$49K |
| 88312 |
|
2,473 |
2,252 |
$48K |
| 82533 |
|
7,891 |
7,494 |
$46K |
| 83002 |
|
13,961 |
13,893 |
$46K |
| 86376 |
|
10,275 |
10,182 |
$44K |
| 86300 |
|
3,159 |
2,941 |
$42K |
| 86301 |
|
2,106 |
1,962 |
$39K |
| 82550 |
|
13,338 |
13,099 |
$39K |
| 82248 |
|
15,838 |
15,391 |
$39K |
| 86360 |
|
891 |
890 |
$38K |
| 88304 |
|
4,995 |
4,581 |
$37K |
| 86431 |
|
16,906 |
16,869 |
$37K |
| 87502 |
|
9,575 |
9,508 |
$35K |
| 87902 |
|
142 |
138 |
$35K |
| 85046 |
|
7,803 |
7,761 |
$33K |
| 87040 |
|
8,362 |
5,766 |
$31K |
| 86359 |
|
893 |
892 |
$30K |
| 86765 |
|
16,904 |
16,852 |
$30K |
| 86769 |
|
5,941 |
5,925 |
$24K |
| 82977 |
|
7,424 |
7,255 |
$24K |
| 86696 |
|
7,338 |
7,303 |
$22K |
| 88185 |
|
50 |
48 |
$22K |
| 86708 |
|
5,246 |
5,230 |
$22K |
| 88313 |
|
157 |
147 |
$20K |
| 83090 |
|
2,110 |
2,101 |
$18K |
| 83880 |
|
239 |
228 |
$18K |
| 86705 |
|
1,709 |
1,682 |
$18K |
| 86735 |
|
9,519 |
9,491 |
$16K |
| 88307 |
|
668 |
434 |
$16K |
| 87493 |
|
712 |
708 |
$15K |
| 86695 |
|
7,340 |
7,304 |
$15K |
| 86635 |
|
2,829 |
1,403 |
$14K |
| 84681 |
|
2,255 |
2,228 |
$13K |
| 86709 |
|
4,615 |
4,602 |
$13K |
| 87185 |
|
10,395 |
10,324 |
$13K |
| 84478 |
|
5,282 |
4,953 |
$12K |
| 84144 |
|
3,071 |
3,035 |
$12K |
| 87798 |
|
1,561 |
1,377 |
$12K |
| 84702 |
|
4,138 |
3,827 |
$11K |
| 85045 |
|
3,034 |
3,006 |
$11K |
| 86665 |
|
5,309 |
2,655 |
$11K |
| 86592 |
|
9,471 |
9,268 |
$10K |
| 84155 |
|
5,403 |
5,281 |
$10K |
| 87147 |
|
8,323 |
8,280 |
$10K |
| 82150 |
|
4,824 |
4,733 |
$9K |
| 87075 |
|
1,553 |
1,427 |
$8K |
| 82164 |
|
1,079 |
1,072 |
$8K |
| 83525 |
|
3,669 |
3,644 |
$8K |
| 82340 |
|
1,905 |
1,857 |
$7K |
| 82570 |
|
2,170 |
2,022 |
$6K |
| 87046 |
|
1,923 |
1,896 |
$6K |
| 84146 |
|
5,382 |
5,290 |
$6K |
| 86677 |
|
4,884 |
4,874 |
$6K |
| 82232 |
|
256 |
246 |
$6K |
| 82530 |
|
863 |
859 |
$6K |
| 85049 |
|
1,805 |
1,788 |
$6K |
| 82985 |
|
1,068 |
1,059 |
$6K |
| 87184 |
|
438 |
422 |
$5K |
| 86664 |
|
2,647 |
2,630 |
$5K |
| 88184 |
|
52 |
50 |
$5K |
| 86593 |
|
3,479 |
3,420 |
$4K |
| 84466 |
|
372 |
370 |
$3K |
| 84999 |
|
26 |
24 |
$3K |
| 82435 |
|
1,443 |
1,422 |
$3K |
| 84540 |
|
451 |
425 |
$2K |
| 86355 |
|
62 |
62 |
$2K |
| 86357 |
|
62 |
62 |
$2K |
| 82374 |
|
729 |
718 |
$2K |
| 86702 |
|
205 |
202 |
$977.23 |
| 86060 |
|
388 |
383 |
$933.23 |
| 80048 |
|
359 |
356 |
$931.19 |
| 86701 |
|
205 |
202 |
$596.33 |
| 87045 |
|
744 |
734 |
$520.43 |
| 87593 |
|
46 |
22 |
$468.00 |
| 87205 |
|
165 |
143 |
$448.50 |
| 84154 |
|
12 |
12 |
$315.00 |
| 83529 |
|
14 |
14 |
$180.00 |
| 80400 |
|
12 |
12 |
$170.00 |
| 86140 |
|
5,233 |
5,086 |
$137.40 |
| 82945 |
|
386 |
333 |
$100.00 |
| 86800 |
|
13 |
13 |
$80.00 |
| 87631 |
|
106 |
106 |
$54.96 |
| 99283 |
|
3,502 |
3,342 |
$44.60 |
| 84163 |
|
127 |
127 |
$13.37 |
| 97140 |
|
1,424 |
946 |
$0.00 |
| 3044F |
|
181,091 |
180,406 |
$0.00 |
| 97165 |
|
204 |
200 |
$0.00 |
| 3052F |
|
12,889 |
12,795 |
$0.00 |
| 90471 |
|
20,567 |
19,611 |
$0.00 |
| 92567 |
|
322 |
318 |
$0.00 |
| 71101 |
|
172 |
102 |
$0.00 |
| 73560 |
|
320 |
166 |
$0.00 |
| 82784 |
|
302 |
288 |
$0.00 |
| 99213 |
|
54,638 |
46,585 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
426 |
301 |
$0.00 |
| G0123 |
Screen cerv/vag thin layer |
288 |
288 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
347 |
336 |
$0.00 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
2,072 |
2,047 |
$0.00 |
| 11900 |
|
170 |
141 |
$0.00 |
| 73090 |
|
379 |
202 |
$0.00 |
| J7060 |
5% dextrose/water |
844 |
184 |
$0.00 |
| 90656 |
|
1,277 |
1,276 |
$0.00 |
| 90834 |
|
4,138 |
3,646 |
$0.00 |
| 82950 |
|
41 |
34 |
$0.00 |
| 92523 |
|
360 |
345 |
$0.00 |
| 45380 |
|
309 |
256 |
$0.00 |
| 99214 |
|
30,941 |
27,824 |
$0.00 |
| 99239 |
|
18 |
18 |
$0.00 |
| 3074F |
|
5,425 |
5,329 |
$0.00 |
| 76536 |
|
382 |
213 |
$0.00 |
| 90739 |
|
60 |
60 |
$0.00 |
| 45378 |
|
239 |
204 |
$0.00 |
| 85379 |
|
55 |
55 |
$0.00 |
| 96366 |
|
359 |
197 |
$0.00 |
| 99232 |
|
170 |
60 |
$0.00 |
| 90744 |
|
129 |
126 |
$0.00 |
| 96374 |
|
1,392 |
902 |
$0.00 |
| 90651 |
|
1,996 |
1,991 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
335 |
210 |
$0.00 |
| 76700 |
|
371 |
224 |
$0.00 |
| 90686 |
|
7,662 |
7,488 |
$0.00 |
| 20550 |
|
103 |
73 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
1,143 |
707 |
$0.00 |
| 73522 |
|
24 |
14 |
$0.00 |
| 20610 |
|
474 |
383 |
$0.00 |
| 17000 |
|
121 |
119 |
$0.00 |
| 73660 |
|
306 |
178 |
$0.00 |
| 71260 |
|
189 |
158 |
$0.00 |
| 97112 |
|
223 |
177 |
$0.00 |
| 90732 |
|
373 |
373 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
56 |
29 |
$0.00 |
| 83021 |
|
142 |
138 |
$0.00 |
| 99385 |
|
218 |
216 |
$0.00 |
| 97166 |
|
61 |
59 |
$0.00 |
| 70486 |
|
147 |
120 |
$0.00 |
| 99217 |
|
283 |
275 |
$0.00 |
| 87624 |
|
1,538 |
1,511 |
$0.00 |
| 87255 |
|
145 |
145 |
$0.00 |
| 76815 |
|
298 |
254 |
$0.00 |
| J7611 |
Albuterol non-comp con |
366 |
200 |
$0.00 |
| 92004 |
|
718 |
718 |
$0.00 |
| 90847 |
|
172 |
163 |
$0.00 |
| 58100 |
|
172 |
170 |
$0.00 |
| 76641 |
|
508 |
267 |
$0.00 |
| 86580 |
|
1,335 |
1,272 |
$0.00 |
| 11055 |
|
146 |
142 |
$0.00 |
| 84484 |
|
186 |
182 |
$0.00 |
| 72148 |
|
230 |
195 |
$0.00 |
| 90696 |
|
689 |
687 |
$0.00 |
| 72081 |
|
373 |
197 |
$0.00 |
| 92551 |
|
7,783 |
7,758 |
$0.00 |
| 96127 |
|
150 |
143 |
$0.00 |
| 76870 |
|
215 |
139 |
$0.00 |
| 97162 |
|
110 |
106 |
$0.00 |
| 73120 |
|
151 |
85 |
$0.00 |
| 83690 |
|
529 |
517 |
$0.00 |
| 76801 |
|
182 |
145 |
$0.00 |
| 97010 |
|
426 |
266 |
$0.00 |
| 76816 |
|
65 |
53 |
$0.00 |
| 83921 |
|
44 |
43 |
$0.00 |
| 58301 |
|
161 |
156 |
$0.00 |
| 83605 |
|
178 |
166 |
$0.00 |
| 76830 |
|
1,305 |
865 |
$0.00 |
| 96365 |
|
522 |
290 |
$0.00 |
| 93971 |
|
164 |
129 |
$0.00 |
| 92227 |
|
797 |
795 |
$0.00 |
| 95806 |
|
103 |
90 |
$0.00 |
| 99202 |
|
3,642 |
3,507 |
$0.00 |
| 99383 |
|
14 |
14 |
$0.00 |
| 90723 |
|
2,049 |
1,833 |
$0.00 |
| 82962 |
|
492 |
425 |
$0.00 |
| 93306 |
|
540 |
432 |
$0.00 |
| 99282 |
|
1,263 |
1,219 |
$0.00 |
| 76811 |
|
129 |
128 |
$0.00 |
| 73564 |
|
935 |
487 |
$0.00 |
| 73502 |
|
470 |
244 |
$0.00 |
| 94660 |
|
45 |
44 |
$0.00 |
| D1206 |
|
1,031 |
946 |
$0.00 |
| 92002 |
|
2,121 |
2,097 |
$0.00 |
| 96372 |
|
3,862 |
2,339 |
$0.00 |
| 99460 |
|
30 |
30 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
218 |
130 |
$0.00 |
| 73060 |
|
52 |
24 |
$0.00 |
| 74183 |
|
13 |
13 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
457 |
276 |
$0.00 |
| 82306 |
|
1,641 |
1,622 |
$0.00 |
| 71045 |
|
1,204 |
1,054 |
$0.00 |
| 99291 |
|
73 |
71 |
$0.00 |
| 86225 |
|
127 |
125 |
$0.00 |
| 94010 |
|
105 |
104 |
$0.00 |
| J3420 |
Vitamin b12 injection |
386 |
211 |
$0.00 |
| L1810 |
Ko elastic with joints |
57 |
56 |
$0.00 |
| 12001 |
|
54 |
54 |
$0.00 |
| 82677 |
|
295 |
294 |
$0.00 |
| 94761 |
|
261 |
243 |
$0.00 |
| 90716 |
|
935 |
865 |
$0.00 |
| 52000 |
|
76 |
72 |
$0.00 |
| 57454 |
|
55 |
52 |
$0.00 |
| 85730 |
|
59 |
53 |
$0.00 |
| 86885 |
|
119 |
119 |
$0.00 |
| 96110 |
|
18 |
18 |
$0.00 |
| 99441 |
|
4,966 |
4,639 |
$0.00 |
| 74022 |
|
71 |
46 |
$0.00 |
| 72040 |
|
348 |
197 |
$0.00 |
| 90792 |
|
189 |
189 |
$0.00 |
| 58300 |
|
180 |
177 |
$0.00 |
| 73650 |
|
23 |
12 |
$0.00 |
| 29075 |
|
12 |
12 |
$0.00 |
| 51798 |
|
109 |
103 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
106 |
54 |
$0.00 |
| 96415 |
|
113 |
60 |
$0.00 |
| 93227 |
|
45 |
44 |
$0.00 |
| J8540 |
Oral dexamethasone |
57 |
29 |
$0.00 |
| 73221 |
|
130 |
91 |
$0.00 |
| 90632 |
|
43 |
43 |
$0.00 |
| 92587 |
|
61 |
60 |
$0.00 |
| 11200 |
|
27 |
26 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
129 |
69 |
$0.00 |
| 66984 |
|
25 |
24 |
$0.00 |
| 99285 |
|
1,233 |
1,164 |
$0.00 |
| J7298 |
Mirena, 52 mg |
28 |
26 |
$0.00 |
| 78452 |
|
14 |
14 |
$0.00 |
| 95910 |
|
12 |
12 |
$0.00 |
| 99386 |
|
44 |
44 |
$0.00 |
| 20553 |
|
15 |
15 |
$0.00 |
| 64615 |
|
14 |
13 |
$0.00 |
| 80197 |
|
34 |
25 |
$0.00 |
| 70491 |
|
13 |
12 |
$0.00 |
| 31231 |
|
91 |
90 |
$0.00 |
| 86160 |
|
53 |
50 |
$0.00 |
| 97597 |
|
15 |
13 |
$0.00 |
| 92507 |
|
23 |
15 |
$0.00 |
| 94640 |
|
16 |
14 |
$0.00 |
| 99220 |
|
12 |
12 |
$0.00 |
| 94760 |
|
21 |
21 |
$0.00 |
| 86901 |
|
136 |
130 |
$0.00 |
| 95819 |
|
12 |
12 |
$0.00 |
| 96150 |
|
13 |
13 |
$0.00 |
| 11730 |
|
13 |
12 |
$0.00 |
| 73552 |
|
23 |
13 |
$0.00 |
| 86336 |
|
296 |
295 |
$0.00 |
| 3051F |
|
21,389 |
21,186 |
$0.00 |
| J0585 |
Injection,onabotulinumtoxina |
115 |
101 |
$0.00 |
| 99281 |
|
419 |
409 |
$0.00 |
| 70553 |
|
333 |
283 |
$0.00 |
| 90472 |
|
6,271 |
5,879 |
$0.00 |
| 99442 |
|
533 |
512 |
$0.00 |
| 77080 |
|
462 |
269 |
$0.00 |
| 73610 |
|
1,647 |
926 |
$0.00 |
| 43239 |
|
238 |
198 |
$0.00 |
| 90710 |
|
707 |
705 |
$0.00 |
| 86003 |
|
875 |
772 |
$0.00 |
| 85610 |
|
732 |
593 |
$0.00 |
| J7030 |
Normal saline solution infus |
3,426 |
986 |
$0.00 |
| 71250 |
|
96 |
78 |
$0.00 |
| G0124 |
Screen c/v thin layer by md |
295 |
293 |
$0.00 |
| 99392 |
|
4,808 |
4,614 |
$0.00 |
| 76805 |
|
1,107 |
643 |
$0.00 |
| 99203 |
|
3,431 |
3,322 |
$0.00 |
| 73562 |
|
1,303 |
768 |
$0.00 |
| 73130 |
|
994 |
559 |
$0.00 |
| 99219 |
|
348 |
332 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
160 |
158 |
$0.00 |
| 73110 |
|
1,030 |
546 |
$0.00 |
| 73140 |
|
1,059 |
576 |
$0.00 |
| 99173 |
|
9,336 |
9,282 |
$0.00 |
| 90791 |
|
1,288 |
1,282 |
$0.00 |
| 92014 |
|
893 |
893 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
139 |
137 |
$0.00 |
| 78815 |
|
15 |
15 |
$0.00 |
| 90715 |
|
1,779 |
1,769 |
$0.00 |
| 11100 |
|
218 |
215 |
$0.00 |
| 90713 |
|
143 |
139 |
$0.00 |
| 3046F |
|
17,763 |
17,569 |
$0.00 |
| 90707 |
|
955 |
886 |
$0.00 |
| 97110 |
|
4,992 |
3,191 |
$0.00 |
| 83655 |
|
1,478 |
1,440 |
$0.00 |
| 3078F |
|
5,205 |
5,111 |
$0.00 |
| 73721 |
|
322 |
240 |
$0.00 |
| 99231 |
|
55 |
31 |
$0.00 |
| 76770 |
|
605 |
349 |
$0.00 |
| 73030 |
|
1,237 |
708 |
$0.00 |
| 97150 |
|
850 |
318 |
$0.00 |
| 90633 |
|
1,709 |
1,595 |
$0.00 |
| 92579 |
|
112 |
107 |
$0.00 |
| 90681 |
|
946 |
837 |
$0.00 |
| 99391 |
|
4,476 |
3,877 |
$0.00 |
| 71046 |
|
4,625 |
2,737 |
$0.00 |
| 99204 |
|
571 |
557 |
$0.00 |
| 90661 |
|
1,655 |
1,620 |
$0.00 |
| 87102 |
|
56 |
54 |
$0.00 |
| 90734 |
|
1,544 |
1,536 |
$0.00 |
| 87804 |
|
1,360 |
1,326 |
$0.00 |
| 88175 |
|
174 |
174 |
$0.00 |
| J2930 |
Methylprednisolone injection |
330 |
195 |
$0.00 |
| 90832 |
|
281 |
268 |
$0.00 |
| 76813 |
|
144 |
143 |
$0.00 |
| 90853 |
|
1,688 |
781 |
$0.00 |
| 74018 |
|
1,127 |
648 |
$0.00 |
| 86038 |
|
134 |
130 |
$0.00 |
| 86235 |
|
15 |
14 |
$0.00 |
| 92015 |
|
3,570 |
3,514 |
$0.00 |
| 20552 |
|
115 |
97 |
$0.00 |
| 96101 |
|
62 |
58 |
$0.00 |
| 81002 |
|
3,600 |
3,209 |
$0.00 |
| 31575 |
|
125 |
123 |
$0.00 |
| 80164 |
|
43 |
40 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
611 |
405 |
$0.00 |
| 92550 |
|
160 |
159 |
$0.00 |
| 76856 |
|
1,512 |
1,036 |
$0.00 |
| 90648 |
|
3,001 |
2,716 |
$0.00 |
| 69209 |
|
42 |
40 |
$0.00 |
| 72141 |
|
172 |
144 |
$0.00 |
| 90670 |
|
3,151 |
2,865 |
$0.00 |
| 73070 |
|
258 |
130 |
$0.00 |
| 11750 |
|
130 |
126 |
$0.00 |
| 74177 |
|
867 |
758 |
$0.00 |
| 93005 |
|
1,730 |
1,688 |
$0.00 |
| 99393 |
|
3,672 |
3,663 |
$0.00 |
| 90837 |
|
1,902 |
1,689 |
$0.00 |
| 77066 |
Tomosynthesis, mammo |
80 |
42 |
$0.00 |
| 90691 |
|
115 |
115 |
$0.00 |
| 70551 |
|
224 |
202 |
$0.00 |
| 10060 |
|
74 |
74 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
832 |
542 |
$0.00 |
| 17110 |
|
611 |
558 |
$0.00 |
| 85060 |
|
80 |
78 |
$0.00 |
| J1071 |
Inj testosterone cypionate |
306 |
135 |
$0.00 |
| 76857 |
|
184 |
111 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
312 |
150 |
$0.00 |
| 99225 |
|
232 |
173 |
$0.00 |
| 11721 |
|
258 |
251 |
$0.00 |
| 90658 |
|
745 |
742 |
$0.00 |
| 87880 |
|
4,130 |
3,976 |
$0.00 |
| 81003 |
|
2,044 |
1,960 |
$0.00 |
| 99212 |
|
12,578 |
11,668 |
$0.00 |
| 90685 |
|
84 |
78 |
$0.00 |
| 90746 |
|
418 |
411 |
$0.00 |
| 99201 |
|
1,246 |
1,224 |
$0.00 |
| 73630 |
|
2,265 |
1,267 |
$0.00 |
| 99395 |
|
1,142 |
1,136 |
$0.00 |
| 99211 |
|
302 |
290 |
$0.00 |
| 76881 |
|
126 |
71 |
$0.00 |
| 43235 |
|
169 |
143 |
$0.00 |
| 99394 |
|
3,276 |
3,268 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
1,914 |
1,808 |
$0.00 |
| 62323 |
|
45 |
45 |
$0.00 |
| 77067 |
|
1,022 |
635 |
$0.00 |
| 92012 |
|
3,312 |
3,253 |
$0.00 |
| J7120 |
Ringers lactate infusion |
521 |
358 |
$0.00 |
| 72050 |
|
159 |
83 |
$0.00 |
| 93010 |
|
1,852 |
1,800 |
$0.00 |
| 96413 |
|
581 |
225 |
$0.00 |
| 12011 |
|
28 |
28 |
$0.00 |
| 90750 |
|
45 |
45 |
$0.00 |
| 73590 |
|
399 |
214 |
$0.00 |
| 73100 |
|
338 |
181 |
$0.00 |
| 99284 |
|
4,417 |
4,065 |
$0.00 |
| 99222 |
|
35 |
32 |
$0.00 |
| 86900 |
|
137 |
131 |
$0.00 |
| 76705 |
|
914 |
641 |
$0.00 |
| L1902 |
Afo ankle gauntlet pre ots |
49 |
49 |
$0.00 |
| 93303 |
|
170 |
137 |
$0.00 |
| 99396 |
|
701 |
700 |
$0.00 |
| 87210 |
|
56 |
48 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
471 |
260 |
$0.00 |
| 96523 |
|
28 |
12 |
$0.00 |
| 74176 |
|
327 |
282 |
$0.00 |
| 97161 |
|
1,641 |
1,619 |
$0.00 |
| 86256 |
|
48 |
48 |
$0.00 |
| 92134 |
|
147 |
107 |
$0.00 |
| 87341 |
|
59 |
58 |
$0.00 |
| 17003 |
|
14 |
14 |
$0.00 |
| 87338 |
|
62 |
62 |
$0.00 |
| L3260 |
Ambulatory surgical boot eac |
26 |
26 |
$0.00 |
| Q5102 |
Inj., infliximab biosimilar |
15 |
12 |
$0.00 |
| 92557 |
|
217 |
212 |
$0.00 |
| 73080 |
|
424 |
244 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
41 |
41 |
$0.00 |
| 97530 |
|
536 |
433 |
$0.00 |
| 72100 |
|
813 |
472 |
$0.00 |
| 90700 |
|
869 |
802 |
$0.00 |
| 94060 |
|
61 |
59 |
$0.00 |
| 70450 |
|
640 |
572 |
$0.00 |
| 72070 |
|
56 |
31 |
$0.00 |
| 93970 |
|
39 |
28 |
$0.00 |
| 81025 |
|
2,487 |
2,323 |
$0.00 |
| 00170 |
|
19 |
14 |
$0.00 |
| 92504 |
|
12 |
12 |
$0.00 |
| 99051 |
|
1,310 |
1,184 |
$0.00 |
| 77072 |
|
24 |
13 |
$0.00 |
| 45385 |
|
15 |
12 |
$0.00 |
| 99354 |
|
12 |
12 |
$0.00 |
| 80076 |
|
13 |
13 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
32 |
18 |
$0.00 |
| 00840 |
|
50 |
27 |
$0.00 |
| 67028 |
|
17 |
14 |
$0.00 |
| 84305 |
|
13 |
13 |
$0.00 |
| 86147 |
|
13 |
12 |
$0.00 |
| 96417 |
|
54 |
37 |
$0.00 |
| 86480 |
|
47 |
47 |
$0.00 |
| 97760 |
|
15 |
12 |
$0.00 |
| 99238 |
|
63 |
53 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
14 |
12 |
$0.00 |
| 47562 |
|
12 |
12 |
$0.00 |
| 80361 |
|
18 |
13 |
$0.00 |
| 92133 |
|
51 |
30 |
$0.00 |
| 99221 |
|
37 |
35 |
$0.00 |
| 90785 |
|
28 |
27 |
$0.00 |
| 81220 |
|
66 |
66 |
$0.00 |
| 86039 |
|
15 |
14 |
$0.00 |
| J9035 |
Bevacizumab injection |
13 |
12 |
$0.00 |
| 59409 |
|
23 |
23 |
$0.00 |